NPI age
18 years
Enumerated 2007-07-02
Across 2155 active ophthalmology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (CA) | A107345 | MEDICAL LICENSE |
| 01 (NV) | 25920 | MEDICAL LICENSE |
| 01 (FL) | ME144002 | MEDICAL LICENSE |
| 01 (TX) | Q1948 | MEDICAL LICENSE |
| 01 (CA) | W13961A | MEDICARE GROUP PTAN |
| 01 (CA) | W13961C | MEDICARE GROUP PTAN |
| 01 (CA) | W13961B | MEDICARE GROUP PTAN |
| 01 (CA) | W13961 | MEDICARE GROUP PTAN |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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