NPI age
20 years
Enumerated 2006-02-15
Across 6023 active anesthesiology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | L-9100 | STATE LICENSE |
| 01 | P00302021 | MEDICARE RAILROAD |
| 01 | P00376055 | MEDICARE RAILROAD |
| 05 (TX) | 1666901103 | |
| 05 (TX) | 166690102 |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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