NPI age
18 years
Enumerated 2007-08-10
Across 22123 active nurse practitioner providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 2176653-03 | |
| 01 (TX) | 758659 | MEDICARE PTAN |
| 01 (TX) | 8206NL-SASA | BCBSTX |
| 05 (TX) | 217665302-SASA | |
| 01 (TX) | 11790127 | CAQH |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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