NPI age
17 years
Enumerated 2009-04-21
Across 3028 active surgery providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8GD854 | BCBS |
| 01 (TX) | 8FK026 | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 351674201 |
Part of a multi-provider practice. 20 other active providers share this practice address in NPPES.
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