NPI age
19 years
Enumerated 2007-02-20
Across 548 active surgery providers in Texas.
1 secondary location on file with NPPES.
3 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0031MB | BLUE CROSS BLUE SHIELD |
| 01 (TX) | K9795 | MEDICAL LICENSE |
| 01 (TX) | H82896 | UPIN |
Multi-provider organization. 3 individual providers on file at this primary address. Plus 1 secondary practice location.
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