NPI age
19 years
Enumerated 2006-06-02
Across 1024 active otolaryngology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 143092801 | |
| 05 (TX) | 1053712-07 | |
| 05 (TX) | 105371205 | |
| 05 (TX) | 1619915832 |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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