NPI age
19 years
Enumerated 2006-07-31
Across 22123 active nurse practitioner providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | P00773116 | RAILROAD MEDICARE PROVIDER NUMBER |
| 01 (TX) | 638379 | STATE LICENSE |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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