NPI age
12 years
Enumerated 2013-06-05
Across 3028 active surgery providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 416262001 | |
| 01 (TX) | 8NJ639 | BCBS |
| 01 (TX) | 416262002 | OTHER CSHCN |
Part of a multi-provider practice. 117 other active providers share this practice address in NPPES.
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