NPI age
19 years
Enumerated 2006-12-06
Across 6676 active nurse anesthetist, certified registered providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 002831802 | |
| 01 (TX) | 470862522 | TAX ID |
| 01 (TX) | S28032 | UPIN |
Part of a multi-provider practice. 27 other active providers share this practice address in NPPES.
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