NPI age
20 years
Enumerated 2005-08-16
Across 6023 active anesthesiology providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 89807B | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 136242809 | |
| 05 (TX) | 136242811 | |
| 01 (IL) | 214881 | MEDICARE GROUP PTAN |
| 05 (TX) | 136242810 |
Part of a multi-provider practice. 311 other active providers share this practice address in NPPES.
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