NPI age
20 years
Enumerated 2005-08-26
Across 947 active neurological surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1023240751 | GROUP NPI |
| 05 (TX) | 130364608 | |
| 01 (TX) | H3003 | TX LICENSE # |
| 01 (TX) | 8CC790 | BLUE CROSS PROVIDER NUMBER |
Part of a multi-provider practice. 48 other active providers share this practice address in NPPES.
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