NPI age
4 years
Enumerated 2022-03-16
Across 5095 active nurse practitioner providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 | 15535934 | CAQH ID |
| 05 (OR) | 500810911 |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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