NPI age
19 years
Enumerated 2006-08-11
Across 6023 active anesthesiology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | M2876 | STATE LICENSE |
| 01 (TX) | 8U4523 | BC PROVIDER ID |
Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.
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