NPI age
20 years
Enumerated 2005-06-16
Across 6676 active nurse anesthetist, certified registered providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 088844804 | |
| 01 (TX) | 00C44S | BCBS GROUP # |
| 05 (TX) | 170450401 | |
| 01 (TX) | 84214U | BCBS IND. PROV. # |
Part of a multi-provider practice. 27 other active providers share this practice address in NPPES.
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