NPI age
13 years
Enumerated 2013-01-10
Across 5095 active nurse practitioner providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (CA) | 363LP0808X | |
| 01 (CA) | 363LP0808X | MEDI-CAL |
| 05 (TX) | 363LP0808X |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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