NPI age
19 years
Enumerated 2006-08-14
Across 602 active thoracic surgery (cardiothoracic vascular surgery) providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 | 8BF121 | BC BS IND. |
| 05 (TX) | 159610802 | |
| 01 (TX) | 8F0351 | MEDICARE PTAN |
| 01 (TX) | F7043 | TX LIC. |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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