NPI age
19 years
Enumerated 2007-04-06
Across 3028 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 192955601 | |
| 01 (TX) | 9608066 | AETNA |
| 01 (TX) | 8AK836 | BCBS |
Part of a multi-provider practice. 38 other active providers share this practice address in NPPES.
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