NPI age
17 years
Enumerated 2008-12-23
Across 6676 active nurse anesthetist, certified registered providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 2224617 | DRIVER LICENSE |
| 05 (TX) | 199514402 | |
| 01 (TX) | 89694U | BCBS |
| 01 (TX) | 709225 | STATE LICENSE |
| 01 (TX) | P00679407 | RAILROAD |
Part of a multi-provider practice. 65 other active providers share this practice address in NPPES.
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