NPI age
19 years
Enumerated 2006-09-07
Across 6676 active nurse anesthetist, certified registered providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0046CC | MEDICARE RPK GROUP # |
| 01 (TX) | 8717UA | BCBS |
| 05 (TX) | 139992531 |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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