NPI age
17 years
Enumerated 2008-07-01
Across 3028 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (UT) | 208888204 | |
| 01 (TX) | 8DV049 | BCBS |
| 01 (TX) | 208888205 | CSHCN |
Part of a multi-provider practice. 31 other active providers share this practice address in NPPES.
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