NPI age
20 years
Enumerated 2005-10-04
Across 6676 active nurse anesthetist, certified registered providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 83174U | BLUE CROSS/BLUE SHIELD |
| 01 (TX) | P00000702 | RR MEDICARE |
| 01 (TX) | 038496 | RECERTIFICATION AANA |
Solo or small practice. No other active providers share this practice address in NPPES.
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