NPI age
20 years
Enumerated 2005-12-13
Across 2155 active ophthalmology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 125408801 | |
| 01 (TX) | 8S9544 | BCBSTX |
| 01 (TX) | 180019404 | RR MEDICARE |
| 01 | 4482580 | AETNA |
Part of a multi-provider practice. 44 other active providers share this practice address in NPPES.
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