NPI age
20 years
Enumerated 2005-10-12
Across 3028 active surgery providers in Texas.
20 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 | 91159 | AMERIGROUP |
| 01 | 4254295 | AETNA |
Multi-provider organization. 20 individual providers on file at this primary address.
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