NPI age
20 years
Enumerated 2006-05-19
Across 4633 active obstetrics & gynecology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 179224401 | |
| 01 | 0067NJ | BCBS GR# |
Single-site organization. Only one practice location on file.
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