NPI age
14 years
Enumerated 2012-04-11
Across 223 active surgery providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 390718001 | |
| 05 (TX) | 390718002 |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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