NPI age
19 years
Enumerated 2006-08-21
Across 5264 active nurse practitioner providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 188121105 | |
| 01 (TX) | 1164538427 | TRICARE SOUTH |
| 05 (TX) | 188121102 | |
| 05 (TX) | 188121103 | |
| 01 (TX) | 8Y9999 | BCBSTX |
| 05 (TX) | 188121104 |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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