NPI age
19 years
Enumerated 2006-07-11
Across 3028 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 6678943 | CIGNA |
| 01 (TX) | 0097MB | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 160045404 | |
| 05 (TX) | 160045402 | |
| 01 (TX) | 3776353 | AETNA |
Solo or small practice. No other active providers share this practice address in NPPES.
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