NPI age
20 years
Enumerated 2006-02-15
Across 6023 active anesthesiology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 045446401 | |
| 05 (TX) | 045446403 | |
| 01 (TX) | K-9205 | STATE LICENSE |
| 01 | 87168N | MEDICARE |
| 01 | 87168N | BLUE CROSS |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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