NPI age
21 years
Enumerated 2005-05-27
Across 4633 active obstetrics & gynecology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 099136601 | |
| 01 (TX) | 752491299 | TAX ID.# |
| 05 (TX) | 1366445066 |
Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.
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