NPI age
19 years
Enumerated 2006-06-16
Across 6676 active nurse anesthetist, certified registered providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 137810112 | |
| 01 (TX) | 3657500000X | TAXONOMY CODE |
| 05 (TX) | 160955401 | |
| 01 (TX) | 00C85R | BCBS GRP NUMBER |
| 01 (TN) | 82882U | BCBS |
| 01 (TX) | 457349 | CRNA LICENSE |
Part of a multi-provider practice. 52 other active providers share this practice address in NPPES.
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