NPI age
12 years
Enumerated 2013-08-19
Across 5264 active nurse practitioner providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | AP123920 | STATE LICENSE |
| 01 (TX) | 771897 | LICENSE |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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