NPI age
21 years
Enumerated 2005-05-23
Across 845 active anesthesiology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 130285308 | |
| 01 (TX) | 37-1564010 | TAX ID |
| 01 (TX) | 8BD570 | BCBS INDIVIDUAL # |
| 01 (TX) | 8F7963 | MEDICARE PTAN |
| 01 (TX) | TXB137878 | MEDICARE PTAN - MARBLE FALLS |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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