NPI age
20 years
Enumerated 2005-08-12
Across 489 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 208617186 | FEIN |
| 01 (TX) | 752605101 | FEIN |
| 05 (TX) | 149737202 | |
| 01 (TX) | 4243569 | BLUELINK |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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