NPI age
19 years
Enumerated 2006-07-19
Across 6676 active nurse anesthetist, certified registered providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 003154402 | |
| 01 | 178028300 | DEPT OF LABOR GROUP NO. |
| 01 | 86313U | BCBS INDIV |
| 01 | P00476720 | RR MCR |
Part of a multi-provider practice. 942 other active providers share this practice address in NPPES.
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