NPI age
19 years
Enumerated 2006-08-26
Across 3028 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 0995128-01 | |
| 01 | 00361K | MEDICARE GROUP NUMBER |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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