NPI age
19 years
Enumerated 2007-04-23
Across 4633 active obstetrics & gynecology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (OR) | MD26019 | OREGON LICENSE |
| 01 (TX) | M6178 | TEXAS LICENSE |
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
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