NPI age
20 years
Enumerated 2006-04-21
Across 3028 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 096960203 | |
| 01 (TX) | 0084BQ | BLUE CROSS |
| 01 (TX) | 10030704 | AMERICAID / AMERIGROUP |
| 01 (TX) | 5507263002 | CIGNA PPO/HMO |
| 01 (TX) | 856134 | CHIPS |
| 01 (TX) | 503551 | AETNA PPO/HMO |
| 01 (TX) | P00124619 | MEDICARE RR |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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