NPI age
16 years
Enumerated 2009-08-21
Across 4633 active obstetrics & gynecology providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (IN) | 201222060 | |
| 01 (IN) | 236040090 | MEDICARE PTAN |
| 01 (IN) | 56580014 | MEDICARE PTAN |
Part of a multi-provider practice. 18 other active providers share this practice address in NPPES.
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