NPI age
20 years
Enumerated 2005-06-08
Across 22123 active nurse practitioner providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 017801401 | |
| 05 (TX) | 029245003 | |
| 01 (TX) | 239515 | STATE LICENSE |
| 05 (TX) | 063389301 | |
| 05 (TX) | 029245002 | |
| 05 (TX) | 083850001 |
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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