NPI age
19 years
Enumerated 2006-08-11
Across 22123 active nurse practitioner providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 45D0703080 | GROUP CLIA |
| 01 (TX) | TXB110627 | GROUP MEDICARE PIN |
| 01 (TX) | 092104102 | GROUP MEDICAID/TPI |
| 01 (TX) | 092104103 | GROUP EPSDT |
| 01 (TX) | F057 | GROUP MEDICARE |
| 01 (TX) | 1578514535 | GROUP NPI NUMBER |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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