NPI age
20 years
Enumerated 2005-08-15
Across 489 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | MDD4981 | TX WC/IHC |
| 01 (TX) | 020028080 | RAILROAD MEDICARE |
| 01 (TX) | 2287588 | BLUELINK |
| 05 (TX) | 123940201 | |
| 01 (TX) | 4568289 | AETNA |
| 01 (TX) | 752605101 | FEIN |
Part of a multi-provider practice. 43 other active providers share this practice address in NPPES.
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