NPI age
20 years
Enumerated 2005-08-09
Across 4633 active obstetrics & gynecology providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 180197901 | |
| 01 (TX) | 8GG958 | BCBS |
| 01 (TX) | 0094NA | BCBS |
| 01 (TX) | 203651109 | TAX ID |
| 05 (TX) | 180198705 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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