NPI age
20 years
Enumerated 2005-10-12
Across 350 active obstetrics & gynecology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 169693207 | |
| 01 (TX) | 538091YMGJ | MEDICARE |
Solo or small practice. No other active providers share this practice address in NPPES.
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