NPI age
19 years
Enumerated 2006-10-11
Across 171 active obstetrics & gynecology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | K4759 | TX STATE LICENSE # |
| 05 (TX) | 1542037-01 | |
| 05 (TX) | 031395904 |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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