NPI age
12 years
Enumerated 2013-10-23
Across 5095 active nurse practitioner providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8177NF | BLUE CROSS BLUE SHIELD |
| 01 (TX) | 331002102 | CSHCN MEDICAID |
| 05 (TX) | 331002101 |
Part of a multi-provider practice. 24 other active providers share this practice address in NPPES.
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