NPI age
20 years
Enumerated 2005-10-17
Across 6676 active nurse anesthetist, certified registered providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 85907U | BCBS INDIVIDUAL # |
| 01 (TX) | 596775 | LICENSE # |
| 05 (TX) | 177805201 | |
| 01 (TX) | 00C86S | BCBS GROUP # |
| 01 (TX) | 87629U | BCBSTX |
| 05 (TX) | 003367203 | |
| 01 (TX) | DD3524 | RR MEDICARE GOUP # |
| 01 (TX) | P0022932 | RR MEDICARE INDIV. # |
| 05 (TX) | 003367202 |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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