NPI age
19 years
Enumerated 2006-09-26
Across 5264 active nurse practitioner providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (CO) | 88379779 | |
| 01 | 8N7769 | BCBS |
Part of a multi-provider practice. 148 other active providers share this practice address in NPPES.
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