NPI age
19 years
Enumerated 2006-06-28
Across 6023 active anesthesiology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (IN) | 000000207857 | BCBS PIN |
| 05 (KY) | 64041742 | |
| 01 (IN) | 000000501000 | BCBS - DEACONESS GATEWAY |
| 05 (IN) | 300010735 | |
| 01 (IN) | 000001146552 | ANTHEM PROVIDER NUMBER |
Part of a multi-provider practice. 475 other active providers share this practice address in NPPES.
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