NPI age
19 years
Enumerated 2007-02-07
Across 548 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 208491501 | |
| 01 (TX) | 8CC632 | BCBS |
Solo or small practice. No other active providers share this practice address in NPPES.
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