NPI age
20 years
Enumerated 2005-12-05
Across 3028 active surgery providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 030789403 | |
| 01 (TX) | 8BE420 | BCBS |
| 01 (TX) | P00214637 | MEDICARE RAILROAD |
Part of a multi-provider practice. 75 other active providers share this practice address in NPPES.
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