NPI age
9 years
Enumerated 2016-06-16
Across 3028 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (FL) | TRN25439 | TRAINING LICENSE |
| 01 (TX) | BP20077228 | TRAINING LICENSE |
Part of a multi-provider practice. 524 other active providers share this practice address in NPPES.
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