NPI age
20 years
Enumerated 2006-04-07
Across 1194 active urology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 110236004 | |
| 01 (TX) | 8M6738 | BCBS |
| 01 (TX) | P00275099 | RR MEDICARE |
| 05 (TX) | 110236005 |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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