NPI age
19 years
Enumerated 2006-12-12
Across 227 active orthopaedic surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | MDK6055 | TX WORKERS COMP |
| 01 (TX) | 2346693 | AETNA HMO |
| 01 (TX) | 7200123 | AETNA PPO |
| 01 (TX) | 0085ET | BLUECROSS BLUE SHIELD |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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