NPI age
20 years
Enumerated 2006-02-14
Across 358 active orthopaedic surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1624223-02 | |
| 01 (TX) | 87W190 | BCBS INDIVIDUAL # |
| 01 (TX) | 1624223-07 | MEDICAID CSHCN ROT |
| 01 (TX) | 162422303 | MEDICAID CSHCN |
| 05 (TX) | 1624223-06 |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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