NPI age
17 years
Enumerated 2008-08-12
Across 4633 active obstetrics & gynecology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (NV) | 13261 | NV MEDICAL LICENSE |
| 05 (NV) | 1396991113 | |
| 01 (TX) | R3179 | TX MEDICAL LICENSE |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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