NPI age
21 years
Enumerated 2005-05-27
Across 4633 active obstetrics & gynecology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 21169308513 | BEECH ST |
| 05 (TX) | 1351298-03 | |
| 01 (TX) | 07-00565 | PHC/UHC |
| 01 (TX) | 82G726 | BLUE CROSS |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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