NPI age
4 years
Enumerated 2021-10-12
Across 5095 active nurse practitioner providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1052592 | LICENSE |
| 01 (NY) | F404528 | LICENSE |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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