NPI age
19 years
Enumerated 2006-07-27
Across 602 active thoracic surgery (cardiothoracic vascular surgery) providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 752616977107 | TRICARE E LAKE STREET LOCATION |
| 05 (TX) | 160211202 | |
| 01 (TX) | K1185 | MEDICAL LICENSE |
| 05 (TX) | 160211201 | |
| 01 (TX) | 752616977039 | TRICARE NORTHPARK LOCATION |
| 01 (TX) | 752616977110 | TRICARE MAPS LOCATION |
| 01 (TX) | 8AM683 | BCBS |
| 01 (TX) | 8J5071 | BCBS PROVIDER |
Part of a multi-provider practice. 21 other active providers share this practice address in NPPES.
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