NPI age
19 years
Enumerated 2006-07-13
Across 3226 active nurse practitioner providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (OK) | 200223530A | |
| 01 (TX) | 8Y8806 | BCBS |
| 01 (TX) | 1F7305 | MCR PIN - CTC |
| 05 (TX) | 197789401 |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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