NPI age
7 years
Enumerated 2018-07-06
Across 548 active surgery providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (MS) | T-3515 | MEDICAL LICENSE |
Part of a multi-provider practice. 3675 other active providers share this practice address in NPPES.
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