NPI age
17 years
Enumerated 2008-06-18
Across 489 active surgery providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 197950205 | |
| 01 (TX) | 8BC029 | BCBS |
| 05 (TX) | 197950204 | |
| 01 (TX) | P01318687 | RR MEDICARE |
| 01 (TX) | 1639330053 | BLUE CROSS BLUE SHIELD |
| 01 (TX) | 8BC029 | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 197950203 | |
| 05 (TX) | 197950201 |
Part of a multi-provider practice. 376 other active providers share this practice address in NPPES.
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