NPI age
12 years
Enumerated 2014-01-28
Across 5264 active nurse practitioner providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 340438601 | |
| 01 (TX) | 75-2616977-103 | TRICARE |
| 01 (TX) | 8739NL | BCBS |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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