NPI age
12 years
Enumerated 2013-07-22
Across 625 active nurse practitioner providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 325841004 | |
| 01 (TX) | 75-2616977-042 | TRICARE |
| 01 (TX) | P01813068 | RAIL ROAD MEDICARE |
| 01 (TX) | 8401MC | BCBS |
Part of a multi-provider practice. 48 other active providers share this practice address in NPPES.
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