NPI age
20 years
Enumerated 2005-10-06
Across 3028 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 114519503 | |
| 01 (TX) | 89X760 | PTAN |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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