NPI age
3 years
Enumerated 2022-06-29
Across 22123 active nurse practitioner providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (IN) | 1103737926 | ANTHEM PTAN |
| 05 (IN) | 300009218 |
Solo or small practice. No other active providers share this practice address in NPPES.
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