NPI age
19 years
Enumerated 2007-01-24
Across 4633 active obstetrics & gynecology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | K4564 | LICENSE |
| 05 (TX) | 125277705 | |
| 05 (TX) | 1252777-06 |
Solo or small practice. No other active providers share this practice address in NPPES.
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