NPI age
20 years
Enumerated 2005-07-28
Across 625 active nurse practitioner providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8Y0753 | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 145528903 | |
| 05 (TX) | 145528904 |
Part of a multi-provider practice. 589 other active providers share this practice address in NPPES.
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