NPI age
19 years
Enumerated 2006-06-16
Across 845 active anesthesiology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 742780495 | TAX IDENTIFICATION NUMBER |
| 01 (TX) | 85Z780 | BLUE CROSS/BLUE SHIELD # |
| 05 (TX) | 085535502 |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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