NPI age
20 years
Enumerated 2005-09-19
Across 2155 active ophthalmology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 157744702 | |
| 05 (KY) | 64092257 | |
| 05 (IN) | 200498170 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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