NPI age
17 years
Enumerated 2009-02-23
Across 6023 active anesthesiology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 00584469 | DRIVER LICENSE |
| 01 (TX) | 8BZ065 | BCBS |
| 05 (TX) | 201602401 | |
| 01 (TX) | N1736 | STATE LICENSE |
Part of a multi-provider practice. 96 other active providers share this practice address in NPPES.
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