NPI age
20 years
Enumerated 2006-04-24
Across 3028 active surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 88621S | BLUE CROSS/SHIELD |
| 01 (TX) | 8BV701 | BLUECROSS BLUESHIELD OF TEXAS |
| 05 (UT) | 135927502 |
Part of a multi-provider practice. 27 other active providers share this practice address in NPPES.
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