NPI age
19 years
Enumerated 2006-06-05
Across 1194 active urology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 122566604 | |
| 01 (TX) | 340016542 | RRMCR |
| 01 | 80413X | BCBS PROVIDER ID |
Part of a multi-provider practice. 33 other active providers share this practice address in NPPES.
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