NPI age
19 years
Enumerated 2006-08-01
Across 6676 active nurse anesthetist, certified registered providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (MO) | 430687077013 | TRICARE |
| 05 (MO) | 919124701 |
Part of a multi-provider practice. 20 other active providers share this practice address in NPPES.
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