NPI age
14 years
Enumerated 2012-04-09
Across 1243 active nurse practitioner providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (AR) | A03684 | LICENSE |
| 01 (TX) | 1994 | TX LICENSE |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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