NPI age
19 years
Enumerated 2006-10-16
Across 6023 active anesthesiology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | MDH6311 | WORKERS COMPENSATION |
| 01 (TX) | 87W114 | BLUE CROSS |
| 05 (TX) | 115106001 | |
| 05 (TX) | 115106003 |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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