NPI age
14 years
Enumerated 2011-07-11
Across 3028 active surgery providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1275672347 | NPI INDIVIDUAL |
| 01 (TX) | M6646 | STATE LICENSE |
Multi-provider organization. 1 individual provider on file at this primary address.
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