NPI age
20 years
Enumerated 2006-05-25
Across 4633 active obstetrics & gynecology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 87812F | BCBS |
| 05 (TX) | 114408101 |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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