NPI age
15 years
Enumerated 2010-12-08
Across 140 active nurse practitioner providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 835N41 | BCBS |
| 01 (TX) | TIN PLUS 042 | TRICARE |
| 05 (TX) | 280002101 |
Part of a multi-provider practice. 321 other active providers share this practice address in NPPES.
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