NPI age
20 years
Enumerated 2005-10-19
Across 6676 active nurse anesthetist, certified registered providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | P00342697 | MEDICARE ID |
| 01 (TX) | 86009U | BCBSTX |
| 05 (TX) | C088724C5 |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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