NPI age
19 years
Enumerated 2006-06-28
Across 1024 active otolaryngology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (KS) | 200310510A | |
| 01 (KS) | 207905 | HPK |
| 01 (KS) | 104530 | BCBS |
| 01 (KS) | 234563 | COVENTRY |
| 01 (KS) | 8731 | PHS |
Solo or small practice. No other active providers share this practice address in NPPES.
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