NPI age
21 years
Enumerated 2005-05-24
Across 1024 active otolaryngology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 5078753 | AETNA ID# |
| 01 (TX) | 0039GS | BCBS GROUP # |
| 01 (TX) | 4193431 | BLUELINK NUMBER |
| 05 (TX) | 144949801 | |
| 05 (OK) | 100147420A | |
| 05 (TX) | 046456202 | |
| 05 (OK) | 100755410A | |
| 01 (TX) | 8B5440 | BCBS PROVIDER # |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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