NPI age
19 years
Enumerated 2006-06-24
Across 6023 active anesthesiology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8S7605 | BCBS |
| 01 (TX) | 15954759 | TEXAS DRIVERS LICENSE |
| 05 (TX) | 181695102 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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