NPI age
20 years
Enumerated 2005-06-22
Across 2473 active orthopaedic surgery providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8G9742 | BC/BS PROVIDER NUMBER |
| 01 (TX) | P01034616 | RAILROAD MEDICARE |
| 01 (TX) | 190714 | AMERIGROUP NUMBER |
| 01 (TX) | 3285310 | AETNA HMO NUMBER |
| 01 (TX) | 7050494 | AETNA PPO NUMBER |
| 01 (TX) | K2782 | STATE LICENSE NUMBER |
| 05 (TX) | 127640406 |
Part of a multi-provider practice. 21 other active providers share this practice address in NPPES.
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