NPI age
19 years
Enumerated 2006-07-31
Across 138 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (OK) | 100027640A | |
| 05 (TX) | 124606807 | |
| 05 (NM) | J8716 | |
| 05 (TX) | 124606806 |
Part of a multi-provider practice. 86 other active providers share this practice address in NPPES.
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