NPI age
19 years
Enumerated 2006-07-02
Across 264 active colon & rectal surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8K8370 | BCBS |
| 05 (TX) | 097428903 | |
| 01 | P00125078 | RR MEDICARE |
| 01 | 4018116 | AETNA INS CO |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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