NPI age
16 years
Enumerated 2009-06-16
Across 4633 active obstetrics & gynecology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | BP1-0033834 | PHYSICIAN IN TRAINING PERMIT |
| 01 (TX) | P6135 | TEXAS MEDICAL LICENSE |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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