NPI age
14 years
Enumerated 2012-03-09
Across 22123 active nurse practitioner providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | AP121531 | TEXAS LICENSE |
| 05 (TX) | 3043374-01 | |
| 01 | 12363634 | CAQH |
| 05 (TX) | 3043374-02 |
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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