NPI age
20 years
Enumerated 2005-07-26
Across 3028 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 124931002 | |
| 01 (TX) | P01263888 | RR MEDICARE |
| 05 (TX) | 124931005 | |
| 01 (TX) | 8GD960 | BCBS |
| 01 (TX) | 89819B | BCBS |
| 01 (TX) | 8DW161 | BLUE CROSS BLUE SHIELD |
Part of a multi-provider practice. 247 other active providers share this practice address in NPPES.
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