NPI age
20 years
Enumerated 2005-09-23
Across 53 active otolaryngology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | J2280 | STATE LICENSE |
| 01 (TX) | 4492270 | AETNA |
| 01 (TX) | 752546971002 | TRICARE |
| 01 (TX) | 3380289 | BLUELINK |
| 01 (TX) | 6826666002 | CIGNA |
| 01 (TX) | N60H | BCBS |
| 05 (TX) | 035052201 |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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