NPI age
19 years
Enumerated 2006-07-25
Across 1011 active nurse practitioner providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 526631 | LICENSE |
| 05 (AR) | 163821758 | |
| 01 (TX) | 8Y1726 | BLUE CROSS BLUE SHIELD |
| 01 (AR) | 5A158 | BLUECROSS BLUESHIELD |
| 01 (TX) | P00376988 | RAILROAD MEDICARE |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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