NPI age
19 years
Enumerated 2006-06-29
Across 362 active obstetrics & gynecology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 1871772491 | NPI |
| 01 (TX) | 00PR06 | BCBS |
| 01 (TX) | 4109842 | AETNA |
| 01 (TX) | 45D1010966 | CLIA |
| 01 (TX) | F3250 | TEXAS MEDICAL LICENSE |
| 05 (TX) | 099746202 |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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