NPI age
8 years
Enumerated 2018-01-03
Across 3226 active nurse practitioner providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (IN) | 300011811 | |
| 01 (IN) | 236040271 | MEDICARE PTAN |
Part of a multi-provider practice. 23 other active providers share this practice address in NPPES.
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