NPI age
9 years
Enumerated 2016-10-24
Across 5264 active nurse practitioner providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 365451901 | |
| 01 (TX) | 8441MA | BCBS |
| 01 (TX) | 75-2616977-123 | TRICARE |
| 01 (TX) | P01762497 | RAIL ROAD MEDICARE |
Part of a multi-provider practice. 21 other active providers share this practice address in NPPES.
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