NPI age
20 years
Enumerated 2006-04-25
Across 159 active obstetrics & gynecology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (NC) | 2008-00694 | STATE LICENSE |
| 05 (TX) | 165917901 | |
| 01 (SC) | N94008 | SC MEDICAID |
Part of a multi-provider practice. 4085 other active providers share this practice address in NPPES.
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