NPI age
19 years
Enumerated 2006-09-13
Across 4633 active obstetrics & gynecology providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 119091004 | |
| 01 (TX) | J1642 | TX MEDICAL LICENSE |
| 01 (TX) | 8W5590 | BC/BS TX # |
| 01 (TX) | P00369794 | TRAVELER'S MEDICARE # |
| 05 (TX) | 119091008 | |
| 01 (TX) | P01090446 | RAILROAD MEDICARE PTAN |
| 01 (TX) | 8DE524 | BC/BS # |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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