NPI age
20 years
Enumerated 2005-11-20
Across 1024 active otolaryngology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (RI) | 007059420 | MEDICARE # |
| 01 (TX) | 679507 | TX MEDICARE |
| 05 (MA) | 2102803 | |
| 05 (RI) | 1790767 |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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