NPI age
17 years
Enumerated 2009-04-06
Across 159 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 75-2616977-039 | TRICARE |
| 05 (TX) | 349707501 | |
| 01 (TX) | 8FG805 | BCBS |
| 05 (TX) | 349707502 |
Part of a multi-provider practice. 49 other active providers share this practice address in NPPES.
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