NPI age
20 years
Enumerated 2005-12-02
Across 1024 active otolaryngology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (CO) | 01280064 | |
| 01 (CO) | P00209209 | MEDICARE RAILROAD CARRIER |
| 01 (CO) | TA37805 | ANTHEM BC/BS |
Part of a multi-provider practice. 17 other active providers share this practice address in NPPES.
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