NPI age
20 years
Enumerated 2006-04-20
Across 3028 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 131304103 | |
| 01 (TX) | 88620S | BLUE CROSS/SHIELD |
| 01 (TX) | 8BV700 | BLUECROSS BLUESHIELD OF TEXAS |
Part of a multi-provider practice. 58 other active providers share this practice address in NPPES.
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