NPI age
20 years
Enumerated 2006-02-23
Across 489 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 104235003 | |
| 01 (TX) | 8S2801 | BCBS OF TEXAS |
| 01 (TX) | 15950-0470 | PACIFICARE |
| 01 (TX) | 7225145 | AETNA |
| 01 (TX) | 74-1796484 | TAX ID |
| 01 (TX) | 11132227 | MULTIPLAN |
Part of a multi-provider practice. 41 other active providers share this practice address in NPPES.
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