NPI age
17 years
Enumerated 2008-08-21
Across 22123 active nurse practitioner providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (IN) | 200910430 | |
| 01 (IN) | 000000578797 | ANTHEM |
Solo or small practice. No other active providers share this practice address in NPPES.
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