NPI age
8 years
Enumerated 2018-04-11
Across 1194 active urology providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (IN) | 300075488 | |
| 01 (IN) | 1103072429 | ANTHEM PTAN |
Part of a multi-provider practice. 105 other active providers share this practice address in NPPES.
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