NPI age
19 years
Enumerated 2006-06-30
Across 6676 active nurse anesthetist, certified registered providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | C-80B | BC-BS |
| 05 (TX) | C087543C5 |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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