NPI age
8 years
Enumerated 2017-11-15
Across 5095 active nurse practitioner providers in Texas.
4 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 382244702 | |
| 01 (TX) | XG4602353 | DATA 2000 WAIVER |
| 01 (TX) | AP135789 | LICENSE |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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