NPI age
20 years
Enumerated 2005-12-28
Across 6676 active nurse anesthetist, certified registered providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 0031031-09 | |
| 05 (TX) | 003103107 | |
| 01 | 8473UA | BCBS |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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