NPI age
19 years
Enumerated 2007-01-03
Across 5095 active nurse practitioner providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 171703504 | MEDICAID GROUP NUMBER |
| 01 (TX) | 00744X | MEDICARE GROUP NUMBER |
| 01 (TX) | 74298814779902A004 | TRICARE HEALTHPLAN |
| 05 (TX) | 174643001 | |
| 01 (TX) | 8N8575 | BCBS OF TEXAS |
Part of a multi-provider practice. 18 other active providers share this practice address in NPPES.
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