NPI age
17 years
Enumerated 2009-05-18
Across 5095 active nurse practitioner providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 206081603 | MEDICAID CSHCN |
| 05 (TX) | 206081602 | |
| 01 | 8766NK | BLUE CROSS/BLUE SHIELD |
Part of a multi-provider practice. 813 other active providers share this practice address in NPPES.
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