NPI age
9 years
Enumerated 2016-08-06
Across 3028 active surgery providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (MO) | 2016022430 | MISSOURI BOARD OF HEALING ARTS |
| 01 (TX) | T7743 | TEXAS MEDICAL BOARD |
| 01 (FL) | TRN25581 | FLORIDA BOARD OF MEDICINE |
Part of a multi-provider practice. 108 other active providers share this practice address in NPPES.
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