NPI age
6 years
Enumerated 2019-10-01
Across 3226 active nurse practitioner providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1071126 | TX APRN LICENSE |
| 01 | 14555168 | CAQH # |
| 01 (NV) | 825950 | NV APRN LICENSE |
Part of a multi-provider practice. 16 other active providers share this practice address in NPPES.
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