NPI age
19 years
Enumerated 2007-01-25
Across 22123 active nurse practitioner providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 372757002 | |
| 01 (TX) | 573360YMAF | MEDICARE |
| 01 (TX) | 8HS129 | BCBS |
| 01 (TX) | 75-2616977-007 | TRICARE |
Solo or small practice. No other active providers share this practice address in NPPES.
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