NPI age
19 years
Enumerated 2007-05-07
Across 59 active neuromusculoskeletal medicine & omm providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (CA) | 20A11857 | STATE OF CALIFORNIA |
| 01 (TX) | S9345 | STATE LICENSE |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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