NPI age
19 years
Enumerated 2006-06-07
Across 6676 active nurse anesthetist, certified registered providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (LA) | 1507041 | |
| 01 (TX) | 8344UE | BCBS |
| 01 (TX) | P01200604 | RAIL ROAD |
| 01 (TX) | 75-0818167-015 | TRICARE |
Part of a multi-provider practice. 321 other active providers share this practice address in NPPES.
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