NPI age
19 years
Enumerated 2006-07-27
Across 40 active clinical nurse specialist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8Y8876 | BLUE CROSS BLUE SHIELD |
| 01 (TX) | 75-2803871 | TAX IDENTIFICATION NUMBER |
| 05 (TX) | 062572502 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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