NPI age
20 years
Enumerated 2006-05-22
Across 2256 active nurse practitioner providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1811499-04 | |
| 01 (TX) | H08NE36501 | BCBS |
| 01 (TX) | 643507 | TEXAS LICENSE |
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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