NPI age
18 years
Enumerated 2007-09-05
Across 548 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 081033501 | |
| 01 (TX) | 00707K | BLUE CROSS/BLUE SHEILD |
Single-site organization. Only one practice location on file.
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