NPI age
19 years
Enumerated 2007-04-20
Across 1194 active urology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | PENDING | |
| 01 (TX) | Q5754 | TX MED LIC # |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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