NPI age
19 years
Enumerated 2007-05-04
Across 3226 active nurse practitioner providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 | 11378018 | CAQH |
| 05 (NV) | 1013129980 |
Part of a multi-provider practice. 230 other active providers share this practice address in NPPES.
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