NPI age
16 years
Enumerated 2009-06-25
Across 2473 active orthopaedic surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 146768079303 | |
| 01 (TX) | 83-4230855 | TAX ID |
| 01 (TX) | 851963 | INDIVIDUAL PTAN |
| 01 (TX) | 1114585395 | TYPE 2-GROUP NPI |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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