NPI age
20 years
Enumerated 2005-09-13
Across 6676 active nurse anesthetist, certified registered providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 002981102 | |
| 01 (TX) | 84610U | BLUE CROSS BLUE SHIELD |
| 01 (TX) | 047390 | RECERTIFICATION AANA |
| 01 (TX) | 465552276 | TRICARE INSURANCE |
| 01 (TX) | P00137889 | RAILROAD MEDICARE |
Part of a multi-provider practice. 39 other active providers share this practice address in NPPES.
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