NPI age
20 years
Enumerated 2005-07-13
Across 6676 active nurse anesthetist, certified registered providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 84293C | BLUE CROSS |
| 01 (AR) | 97081 | BLUE CROSS |
| 05 (TX) | 109670303 | |
| 05 (AR) | 128073701 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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