NPI age
18 years
Enumerated 2007-10-18
Across 3028 active surgery providers in Texas.
6 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (OK) | 100845210C | |
| 01 (TX) | 0032QP | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 175716301 | |
| 01 (TX) | 0049MB | BLUE CROSS BLUE SHIELD |
| 05 (AR) | 155950002 | |
| 01 (AR) | 82479 | BLUE CROSS BLUE SHIELD |
Multi-provider organization. 6 individual providers on file at this primary address.
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