NPI age
19 years
Enumerated 2006-08-04
Across 2155 active ophthalmology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 117856802 | MEDICAID |
| 01 (TX) | 829114 | MEDICARE PIN |
| 01 (TX) | F4592 | PHYSICIAN PERMIT |
| 05 (TX) | 117856803 |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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