NPI age
20 years
Enumerated 2005-07-27
Across 99 active otolaryngology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 120180801 | |
| 05 (TX) | 095065103 | |
| 05 (TX) | 120180805 | |
| 01 (TX) | G4841 | STATE LIC |
| 01 | F0072234 | DPS |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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