NPI age
19 years
Enumerated 2006-07-12
Across 2473 active orthopaedic surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 104467903 | |
| 01 (TX) | TXB117515 | MEDICARE PART B - EFFECT 02/01/2011 |
| 01 (TX) | 6484850003 | MEDICARE NSC - EFFECT 02/01/2011 |
| 01 | 8B7874 | BCBS |
| 01 (TX) | 8CR162 | BCBS TX 02/01/2011 |
| 01 (TX) | P00913371 | MEDICARE RAILROAD - EFFECT 02/01/2011 |
Part of a multi-provider practice. 39 other active providers share this practice address in NPPES.
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