NPI age
19 years
Enumerated 2006-07-19
Across 4633 active obstetrics & gynecology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 183046504 | MEDICAID OTHER |
| 01 (TX) | P00470018 | RAILROAD MEDICARE |
| 05 (TX) | 183046503 | |
| 01 (TX) | L9539 | STATE MEDICAL LICENSE |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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