NPI age
20 years
Enumerated 2006-04-19
Across 6676 active nurse anesthetist, certified registered providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (MT) | 000099456 | BCBS |
| 05 (MT) | 1407811896 |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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