NPI age
16 years
Enumerated 2009-06-12
Across 3028 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 3740391-01 | |
| 01 (NC) | 19CQ8 | BCBS NC |
| 05 (NC) | 1518194984 |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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