NPI age
20 years
Enumerated 2006-02-27
Across 947 active neurological surgery providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (FL) | ME90211 | MEDICAL LICENSE |
| 01 (TX) | S5192 | MEDICAL LICENSE |
| 05 (FL) | 269776900 |
Part of a multi-provider practice. 27 other active providers share this practice address in NPPES.
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