NPI age
17 years
Enumerated 2008-11-24
Across 22123 active nurse practitioner providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 200335202 | |
| 01 (TX) | 803N38 | BC/BS IND |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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