NPI age
19 years
Enumerated 2006-09-21
Across 3028 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 10012078 | AMERIGROUP |
| 01 (TX) | 0068EY | BCBS |
| 01 (TX) | 057687 | FIRSTCARE PIN |
| 01 | 10619641 | HEALTHSMART ID |
| 01 | 5357727 | AETNA |
| 01 (TX) | J6724 | LICENSE |
| 01 (TX) | 123900100 | FIRSTCARE ID |
| 05 (TX) | 031274602 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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