NPI age
19 years
Enumerated 2007-01-25
Across 3028 active surgery providers in Texas.
7 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1486250-01 | |
| 01 (TX) | 0017MQ | BCBS GROUPP ID# |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 7 individual providers on file at this primary address.
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