NPI age
17 years
Enumerated 2008-08-07
Across 3028 active surgery providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 356201901 | |
| 01 (TX) | 8FV279 | BCBS PROVIDER NUMBER |
| 05 (NC) | 1831345081 | |
| 01 (TX) | P01621610 | RAILROAD MEDICARE PROVIDER NUMBER |
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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