NPI age
19 years
Enumerated 2006-07-11
Across 489 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 166110002 | CSHCN |
| 01 (TX) | 8P2580 | BCBS |
| 05 (TX) | 166110001 |
Part of a multi-provider practice. 415 other active providers share this practice address in NPPES.
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