NPI age
13 years
Enumerated 2012-09-25
Across 22123 active nurse practitioner providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (LA) | 2364804 | |
| 01 (MS) | 08001854 | MEDICAID |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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