NPI age
19 years
Enumerated 2006-10-02
Across 1024 active otolaryngology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 88691J | BCBS |
| 05 (WA) | 8517930 | |
| 05 (TX) | 100911002 |
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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