NPI age
15 years
Enumerated 2010-08-10
Across 618 active plastic surgery providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | P4853 | STATE LICENSE |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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