NPI age
20 years
Enumerated 2005-09-09
Across 350 active obstetrics & gynecology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (OK) | 200134010A | |
| 01 (TX) | J2928 | MEDICAL LICENSE |
| 05 (CO) | 30433711 | |
| 01 (UT) | 342000-1205 | MEDICAL LICENSE |
| 01 (ID) | M9281 | MEDICAL LICENSE |
Part of a multi-provider practice. 144 other active providers share this practice address in NPPES.
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