NPI age
13 years
Enumerated 2012-07-25
Across 548 active surgery providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 389136802 | |
| 01 (TX) | R6447 | TEXAS MEDICAL LICENSE |
| 05 (TX) | 389136801 |
Part of a multi-provider practice. 524 other active providers share this practice address in NPPES.
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