NPI age
19 years
Enumerated 2007-01-16
Across 6676 active nurse anesthetist, certified registered providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 109955805 | |
| 01 | 88641C | TX-BLUE SHIELD |
| 01 | 430027414 | RAILROAD MEDICARE |
Part of a multi-provider practice. 194 other active providers share this practice address in NPPES.
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