NPI age
20 years
Enumerated 2005-08-03
Across 22123 active nurse practitioner providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 177450702 | |
| 01 (TX) | 8Y5079 | BLUE CROSS BLUE SHIELD |
Part of a multi-provider practice. 17 other active providers share this practice address in NPPES.
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