NPI age
19 years
Enumerated 2007-05-10
Across 1011 active nurse practitioner providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 752616977007 | TRICARE |
| 05 (TX) | 308206701 | |
| 01 (TX) | 884N95 | BCBS |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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