NPI age
20 years
Enumerated 2006-04-05
Across 6023 active anesthesiology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8M1110 | BLUE SHIELD |
| 01 (TX) | P00105586 | RR/MEDICARE |
| 05 (TX) | 1041063-08 | |
| 01 (TX) | 1041063-08 | CSHCN |
Part of a multi-provider practice. 118 other active providers share this practice address in NPPES.
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