NPI age
19 years
Enumerated 2006-10-27
Across 3028 active surgery providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 175076201 | |
| 01 (TX) | 8AJ767 | BCBS |
| 05 (TX) | 100726207 | |
| 05 (TX) | 100726205 | |
| 05 (TX) | 100726206 | |
| 01 (TX) | P00278614 | RAILROAD |
Part of a multi-provider practice. 18 other active providers share this practice address in NPPES.
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