NPI age
19 years
Enumerated 2006-10-12
Across 3028 active surgery providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 032636502 | |
| 01 (TX) | 8CR892 | BCBS |
| 05 (TX) | 032636503 |
Part of a multi-provider practice. 3675 other active providers share this practice address in NPPES.
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