NPI age
19 years
Enumerated 2006-07-07
Across 6676 active nurse anesthetist, certified registered providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 450384 | RN LICENSE |
| 01 (TX) | 85977U | BLUE CROSS ID |
Part of a multi-provider practice. 540 other active providers share this practice address in NPPES.
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