NPI age
19 years
Enumerated 2007-02-09
Across 4633 active obstetrics & gynecology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (NM) | 1427182682 | GROUP NPI |
| 01 (NM) | NM001M59 | BCBS PROVIDER ID |
| 05 (AZ) | 343208 | |
| 01 (NM) | MD2008-0332 | NEW MEXICO STATE LICENSE |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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