NPI age
20 years
Enumerated 2005-12-14
Across 6676 active nurse anesthetist, certified registered providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 430078925 | MEDICARE RAILROAD |
| 01 | 47-0891118 | TAX ID |
| 01 (TX) | 83485U | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 161131101 |
Part of a multi-provider practice. 23 other active providers share this practice address in NPPES.
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