NPI age
19 years
Enumerated 2006-07-04
Across 3028 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | TIN PLU 015 | TRICARE |
| 01 (TX) | 8R7271 | BCBS OF TEXAS |
| 05 (TX) | 148411502 | |
| 01 (TX) | 8J9558 | BCBSTX |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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