NPI age
11 years
Enumerated 2014-08-05
Across 22123 active nurse practitioner providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (OK) | 200616050A | |
| 05 (TX) | 350226201 |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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