NPI age
19 years
Enumerated 2006-08-30
Across 264 active colon & rectal surgery providers in Texas.
5 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (NY) | 0192217 | GHI PPO# |
| 01 (NY) | 6C1591 | HEALTHNET ID# |
| 05 (NY) | 01884335 | |
| 01 (NY) | 260874829 | TAX IDENTIFICATION NUMBER |
| 01 (NY) | 2J6581 | EMPIRE BCBS # |
| 01 (NY) | 5989636 | AETNA PPO# |
| 01 (NY) | P927644 | OXFORD ID# |
| 01 (NY) | 1733914 | AETNA HMO |
| 05 (TX) | 463151701 |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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