NPI age
19 years
Enumerated 2006-08-24
Across 126 active surgery providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 361591601 | |
| 01 (TX) | 8FZ163 | BCBS |
| 05 (TX) | 361591602 | |
| 05 (TX) | 175992001 | |
| 01 (TX) | 8FZ164 | BCBS |
Part of a multi-provider practice. 423 other active providers share this practice address in NPPES.
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