NPI age
19 years
Enumerated 2006-10-02
Across 3028 active surgery providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 148702705 | |
| 01 (TX) | P00375788 | MEDICARE RR |
| 01 (TX) | 7720729 | AETNA |
| 01 (TX) | 5775122 | CIGNA |
Part of a multi-provider practice. 30 other active providers share this practice address in NPPES.
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