NPI age
19 years
Enumerated 2006-08-31
Across 1407 active specialist/technologist, other providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (CO) | F01177 | CERIFIED FIRST ASSISTANT |
| 01 (TX) | SA00018 | LICENSE SURGICAL ASSISTANT |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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