NPI age
20 years
Enumerated 2006-02-15
Across 6023 active anesthesiology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 104617903 | |
| 05 (TX) | 104617904 | |
| 01 (TX) | J-7864 | STATE LICENSE |
| 01 | 8R7390 | BLUE CROSS |
| 01 | P00305313 | MEDICARE RAILROAD |
| 01 | BH9633 | BLUE CROSS |
| 01 | P00211061 | MEDICARE RAILROAD |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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