NPI age
8 years
Enumerated 2017-06-08
Across 104 active orthopaedic surgery providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1790214195 | |
| 05 (MO) | PENDING | |
| 01 (MO) | PENDING | MO LICENSE |
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
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