NPI age
8 years
Enumerated 2017-06-18
Across 22123 active nurse practitioner providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 372476701 | |
| 01 (TX) | 678535 | RN LICENSE |
| 01 (TX) | 586843YK7Y | MEDICARE NUMBER |
| 01 (TX) | AP134171 | FNP LICENSE |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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