NPI age
19 years
Enumerated 2006-09-13
Across 223 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 100421001 | |
| 01 (TX) | 020019564 | RR MEDICARE |
| 01 (TX) | 800362 | BCBS |
Part of a multi-provider practice. 3675 other active providers share this practice address in NPPES.
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