NPI age
19 years
Enumerated 2007-05-21
Across 223 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (KY) | 3581771000 | PASSPORT ADVANTAGE |
| 01 (KY) | 50021606 | PASSPORT |
| 05 (KY) | 7100067280 |
Part of a multi-provider practice. 1981 other active providers share this practice address in NPPES.
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