NPI age
19 years
Enumerated 2006-07-17
Across 3028 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 085672602 | GROUP MEDICAID NUMBER |
| 01 (TX) | 752605101 | FEIN |
| 01 (TX) | 00U48Z | GROUP MEDICARE NUMBER |
| 01 (TX) | 8J9152 | INDIVIDUAL MEDICARE NUMBER |
| 05 (TX) | 038850603 |
Part of a multi-provider practice. 43 other active providers share this practice address in NPPES.
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