NPI age
19 years
Enumerated 2006-08-01
Across 4633 active obstetrics & gynecology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 752768101 | TAXPAYER ID |
| 05 (TX) | 030980901 | |
| 01 (TX) | 0014CU | BCBS PROVIDER NUMBER |
Part of a multi-provider practice. 23 other active providers share this practice address in NPPES.
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