NPI age
19 years
Enumerated 2006-08-11
Across 172 active anesthesiology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TN) | 4027847 | BLUECROSS BLUESHIELD BLUE |
| 05 (KY) | 64044985 | |
| 01 (TN) | 100037425 | TENNCARE PHP |
| 05 (TN) | 3899610 |
Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.
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