NPI age
20 years
Enumerated 2005-09-01
Across 5264 active nurse practitioner providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 1417941758 | TRICARE SOUTH |
| 01 (TX) | 844N63 | BCBS-TX |
| 05 (TN) | PENDING | |
| 05 (VA) | 010242207 |
Solo or small practice. No other active providers share this practice address in NPPES.
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