NPI age
20 years
Enumerated 2006-01-24
Across 1194 active urology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 820604 | BC/BS# |
| 05 (TX) | 117637203 | |
| 01 (TX) | MDD8482TX | WORKERS COMP# |
| 01 (TX) | 340007313 | TRAVELER'S MEDICARE# |
Part of a multi-provider practice. 27 other active providers share this practice address in NPPES.
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