NPI age
12 years
Enumerated 2013-06-11
Across 115 active nurse practitioner providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | HO8783NC01 | BCBS OF TX |
| 01 | 12706093 | CAQH |
| 01 | 4816948 | AETNA HEALTH INSURANCE |
| 05 (TX) | 357226501 |
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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