NPI age
17 years
Enumerated 2008-07-07
Across 1024 active otolaryngology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | E0008413 | DPS REGISTRATION |
| 01 (TX) | D9202 | STATE LICENSE NUMBER |
Part of a multi-provider practice. 20 other active providers share this practice address in NPPES.
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