NPI age
20 years
Enumerated 2006-05-01
Across 6676 active nurse anesthetist, certified registered providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 0034183-05 | |
| 01 (TX) | 86178U | BLUE CROSS BLUE SHIELD |
Solo or small practice. No other active providers share this practice address in NPPES.
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