NPI age
20 years
Enumerated 2005-09-21
Across 1194 active urology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 042797306 | |
| 05 (TX) | 042797302 | |
| 05 (TX) | 042797303 | |
| 05 (TX) | 042797304 | |
| 01 (TX) | 042797305 | MEDICAID OTHER |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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