NPI age
20 years
Enumerated 2005-07-07
Across 4633 active obstetrics & gynecology providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 | 0994912000 | INDEPENDENCE |
| 01 | 3799012 | AETNA |
| 05 (PA) | 0015878910003 | |
| 01 | 232261120 | COMMERCIAL |
| 01 | 30022252 | OTHER HMO |
| 01 | 000880815 | BS |
| 01 | 100769 | OTHER BS |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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