NPI age
20 years
Enumerated 2005-06-24
Across 214 active obstetrics & gynecology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | H-6463 | PHYSICIAN LICENSE PERMIT |
| 01 (TX) | 74-2011840 | TAX IDENTIFICATION NUMBER |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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