NPI age
18 years
Enumerated 2007-09-02
Across 489 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (AR) | 440025801 | |
| 05 (TX) | 216536702 | |
| 01 (TX) | P01301636 | RR MEDICARE |
| 01 (TX) | P01039331 | RR MEDICARE |
| 01 (TX) | 1629262621 | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 216536701 |
Part of a multi-provider practice. 376 other active providers share this practice address in NPPES.
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