NPI age
20 years
Enumerated 2006-05-16
Across 22123 active nurse practitioner providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 171262203 | |
| 05 (TX) | 171262204 | |
| 01 (TX) | 615398 | LICENSE NUMBER |
| 05 (TX) | 171262202 | |
| 05 (TX) | 171262205 |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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