NPI age
19 years
Enumerated 2006-05-31
Across 2473 active orthopaedic surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 114855305 | |
| 01 (TX) | 0078NR | BCBS GROUP# |
| 01 | 364523608 | TRICARE |
| 01 | 8V9721 | BCBS INDIVIDUAL |
| 01 | 900057614 | MEDICARE RR |
| 05 (TX) | 11455304 301 | |
| 01 | 10028628 | AMERIGROUP MEDICAID |
| 01 | 3108265 | AETNA |
| 01 | 360057000 | DEPARTMENT OF LABOR |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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