NPI age
20 years
Enumerated 2006-01-09
Across 3028 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 128200602 | |
| 01 (TX) | 614319 | PTAN |
Part of a multi-provider practice. 35 other active providers share this practice address in NPPES.
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