NPI age
19 years
Enumerated 2006-08-02
Across 3028 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | P01124751 | MEDICARE RAILROAD |
| 05 (TX) | 110509007 | |
| 01 (TX) | 110509008 | CSHCN |
| 01 (TX) | 8DE710 | BCBS |
Part of a multi-provider practice. 31 other active providers share this practice address in NPPES.
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