NPI age
18 years
Enumerated 2008-01-28
Across 3028 active surgery providers in Texas.
7 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 158475701 | |
| 01 (TX) | 0018JQ | BLUE CROSS |
Multi-provider organization. 7 individual providers on file at this primary address.
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