NPI age
17 years
Enumerated 2009-01-16
Across 4633 active obstetrics & gynecology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 2857278-04 | |
| 01 (TX) | 9022710 | AMERICAN BOARD OF OBSTETRICS AND GYNECOLOGY CERTIFICATION |
| 01 (TX) | N1973 | TEXAS MEDICAL BOARD LICENSE/PERMIT |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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