CMS NPPES uses NUCC taxonomy code 363LA2200X for provider records classified as Adult Health within Nurse Practitioner. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services offered,...
TX license #707057taxonomy 363LA2200X
Identifiers
Type
Value
Notes
05 (TX)
307523601
Medicare directory context
Attributes below come from the CMS Doctors & Clinicians dataset used by Medicare Care Compare,
retrieved 2026-10-12. They apply only to this clinician's public Medicare listing.
Medicare specialties
Nurse Practitioner
Telehealth
Listed by CMS
Confirm current availability with the practice
Largest Medicare group
2535 members
Largest listed enrollment group
Facility affiliations reported by CMS
Healthtexas Provider Network
Medicare listing data does not guarantee that a clinician is accepting new patients or that a service is covered.
View the CMS dataset →
Practice context
Part of a multi-provider practice. 206 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new adult health (nurse practitioner) provider has been added in Dallas in the last 180 days.
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