NPI age
19 years
Enumerated 2007-04-11
Across 358 active orthopaedic surgery providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | U1474 | STATE LICENSE |
| 01 (WA) | MD60635856 | STATE |
| 01 (CA) | A122470 | STATE LICENCE |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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