NPI age
19 years
Enumerated 2006-10-04
Across 3028 active surgery providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 5069065 | CIGNA |
| 01 (TX) | 10026939 | AMERIGROUP |
| 01 (TX) | 7367232 | AETNA |
| 05 (TX) | 1450132-01 | |
| 01 (TX) | P00075520 | MEDICARE RR |
Part of a multi-provider practice. 86 other active providers share this practice address in NPPES.
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