NPI age
20 years
Enumerated 2006-03-29
Across 264 active colon & rectal surgery providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (MD) | D0061152 | STATE LICENSE |
| 05 (MD) | 005568900 | |
| 01 (MD) | M57834 | CDS |
Part of a multi-provider practice. 43 other active providers share this practice address in NPPES.
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