NPI age
20 years
Enumerated 2005-07-26
Across 3028 active surgery providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 134231308 | |
| 01 (TX) | P01036906 | RR MEDICARE |
| 01 (TX) | 8AC476 | BLUE CROSS BLUE SHIELD |
| 01 (TX) | 8AC476 | BCBS |
| 01 (TX) | 8DY834 | BLUE CROSS BLUE SHIELD |
| 01 (TX) | 8G5880 | BCBS |
| 01 (TX) | P00442979 | RAILROAD MEDICARE |
| 05 (TX) | 134231309 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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