NPI age
20 years
Enumerated 2006-02-09
Across 489 active surgery providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (AL) | 009933729 | AL MEDICAID |
| 01 (FL) | 257259100 | MEDICAID |
| 01 (AL) | 59068261HAR | BCBS |
| 01 (FL) | 47200 | BCBS |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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