NPI age
19 years
Enumerated 2006-06-19
Across 53 active otolaryngology providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 132887404 | |
| 01 (TX) | 85T361 | BLUE SHIELD |
| 01 (TX) | 10017133 | AMERIGROUP |
| 01 (TX) | 240001344 | RAILROAD MEDICARE |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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