NPI age
19 years
Enumerated 2007-01-09
Across 5264 active nurse practitioner providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 15696734 | TEXAS DRIVERS LICENSE |
| 05 (TX) | 193845803 | |
| 01 (TX) | P00479896 | RAILROAD MEDICARE |
| 01 (TX) | 8Y1789 | BCBS |
| 05 (TX) | 193845801 | |
| 01 (TX) | 642427 | TSBNE |
| 05 (TX) | 193845802 |
Part of a multi-provider practice. 540 other active providers share this practice address in NPPES.
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