NPI age
21 years
Enumerated 2005-05-24
Across 1024 active otolaryngology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 4547130 | AETNA INSURANCE |
| 01 (TX) | 127130100 | FIRST CARE INSURANCE |
| 01 | 00PC04 | BLUE CROSS |
| 05 (TX) | 120346502 | |
| 01 | 040009551 | RR MEDICARE |
| 01 (TX) | 120346502 | FIRST CARE MEDICAID |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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