NPI age
19 years
Enumerated 2006-08-08
Across 6676 active nurse anesthetist, certified registered providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 119974706 | |
| 01 (TX) | 82516U | BLUE CROSS/ BLUE SHIELD |
| 01 | R82571 | CHAMPUS |
| 01 | CK3380 | RAILROAD MEDICARE |
| 01 | 225703 | TEXAS WORKER'S COMP |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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