NPI age
14 years
Enumerated 2011-06-11
Across 6023 active anesthesiology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (VA) | 0101260958 | SURGICAL AND MEDICAL LICENSE |
| 01 (MI) | 4301098698 | BOARD OF MEDICINE EDUCATION LIMITED LICENSE |
Part of a multi-provider practice. 48 other active providers share this practice address in NPPES.
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