NPI age
14 years
Enumerated 2011-06-07
Across 358 active orthopaedic surgery providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (OK) | 28579 | STATE MEDICAL LICENSE |
| 01 (TX) | Q8906 | STATE MEDICAL LICENSE |
| 01 (TX) | 8XN356 | BCBS PROVIDER ID |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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