NPI age
20 years
Enumerated 2005-06-02
Across 2473 active orthopaedic surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1286791-06 | |
| 01 (TX) | 1286791-02 | CSHCN |
| 05 (TX) | 1286791-02 | |
| 01 (TX) | LU082C506 | BC/BS |
Part of a multi-provider practice. 71 other active providers share this practice address in NPPES.
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