NPI age
19 years
Enumerated 2006-08-01
Across 2155 active ophthalmology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | K1792 | PHYSICIAN PERMIT |
| 01 (TX) | 116875903 | MEDICAID |
| 05 (TX) | 116875903 | |
| 01 (TX) | 83C279 | MEDICARE PIN |
Part of a multi-provider practice. 59 other active providers share this practice address in NPPES.
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