NPI age
13 years
Enumerated 2013-02-06
Across 5095 active nurse practitioner providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 559374 | LICENSE |
| 01 (TX) | 00000238225 | STATE ID |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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