NPI age
16 years
Enumerated 2010-04-28
Across 548 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 315510002 | |
| 01 (TX) | 715800 | MEDICARE |
| 05 (TX) | 391510001 | |
| 01 (TX) | 715812 | MEDICARE |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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