NPI age
19 years
Enumerated 2006-08-11
Across 982 active nurse practitioner providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | CAL104321653 | WHNP CERTIFICATE # |
| 01 (TX) | 670449 | STATE LICENSE |
| 01 (TX) | 06524 | PRESCRIPTION # |
Part of a multi-provider practice. 44 other active providers share this practice address in NPPES.
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