NPI age
20 years
Enumerated 2005-11-17
Across 80 active otolaryngology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 144634100 | FIRST CARE |
| 01 (TX) | 8V2550 | BCBS |
| 01 | 276816 | AMERIGROUP |
| 05 (TX) | 163600302 |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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