NPI age
14 years
Enumerated 2012-04-30
Across 4633 active obstetrics & gynecology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (IA) | DO-05093 | IOWA MEDICAL LICENSE |
| 01 (TX) | S8513 | TEXAS MEDICAL BOARD |
Part of a multi-provider practice. 958 other active providers share this practice address in NPPES.
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