NPI age
18 years
Enumerated 2007-06-06
Across 3028 active surgery providers in Texas.
15 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 080825501 | |
| 01 | 0059CZ | BLUE CROSS/SHIELD |
Multi-provider organization. 15 individual providers on file at this primary address.
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