An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
TX license #J0204taxonomy 207XS0106X
Identifiers
Type
Value
Notes
01 (TX)
8H1561
BLUE CROSS BLUE SHIELD
05 (TX)
122132704
01 (TX)
400000574
MEDICARE RAILROAD
01 (TX)
121644100
FIRSTCARE
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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