NPI age
19 years
Enumerated 2007-05-30
Across 358 active orthopaedic surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 202607201 | |
| 01 (TX) | TXB117538 | MEDICARE PART B - EFFECT. 02/01/2011 |
| 01 (TX) | 8CR165 | BC/BS TX - EFFECT. 02/01/2011 |
| 01 (TX) | P00913318 | MEDICARE RAILROAD - EFFECT 02/01/2011 |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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