NPI age
19 years
Enumerated 2006-06-12
Across 138 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (IL) | 036063571 | |
| 01 (TX) | 202606404 | CSHCN- TTUHSC |
| 01 (TX) | 202606402 | MEDICAID - TTUHSC |
| 05 (TX) | 202606403 | |
| 05 (NM) | 78358558 | |
| 05 (OK) | 200246040 A | |
| 05 (TX) | 202606401 |
Part of a multi-provider practice. 191 other active providers share this practice address in NPPES.
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