NPI age
19 years
Enumerated 2007-05-02
Across 3028 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 188903201 | |
| 01 (TX) | 8AG970 | BCBSTX |
| 01 (TX) | P00443076 | MEDICARE RR |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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