NPI age
20 years
Enumerated 2006-04-26
Across 3028 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (OK) | 100082820A | OKLA MEDICAID |
| 01 (AR) | 126280000 | QUALCHOICE |
| 05 (TX) | 102179207 | |
| 01 (AR) | 81808 | ARK BLUE CROSS |
| 01 (TX) | 770069401 | BREASTCARE |
| 01 (LA) | 1557714 | LOUISIANA MEDICAID |
| 01 (TX) | 81G983 | TX BLUE CROSS |
| 01 (TX) | 020022812 | TRAVELERS MEDICARE |
| 05 (AR) | 110840001 |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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