NPI age
12 years
Enumerated 2013-09-05
Across 159 active surgery providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (MO) | 200043476 | |
| 05 (MO) | 1972938249 |
Part of a multi-provider practice. 144 other active providers share this practice address in NPPES.
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