NPI age
19 years
Enumerated 2006-09-20
Across 3028 active surgery providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 3661003 | CIGNA |
| 01 (TX) | 8CQ449 | BCBS OF TX |
| 05 (TX) | 218749401 | |
| 01 (TX) | P00954958 | MEDICARE RR |
| 01 (TX) | 9535169 | AETNA |
Solo or small practice. No other active providers share this practice address in NPPES.
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