NPI age
19 years
Enumerated 2007-02-06
Across 625 active nurse practitioner providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 366924401 | |
| 01 (TX) | 8171MB | BCBS |
| 01 (TX) | P01773738 | RAIL ROAD MEDICARE |
| 01 (TX) | 75-2616977-042 | TRICARE |
Part of a multi-provider practice. 321 other active providers share this practice address in NPPES.
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