NPI age
19 years
Enumerated 2006-10-12
Across 6676 active nurse anesthetist, certified registered providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | CR35297 | WORKERS COMP |
| 01 (TX) | 88797C | BLUE CROSS |
| 01 (TX) | 742710179A017 | CHAMPUS |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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