NPI age
19 years
Enumerated 2007-05-10
Across 171 active obstetrics & gynecology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8AW080 | BCBS ID |
| 05 (TX) | 1945966-04 | |
| 01 (TX) | 450576052 | TAX ID |
Solo or small practice. No other active providers share this practice address in NPPES.
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