NPI age
19 years
Enumerated 2007-05-08
Across 1243 active nurse practitioner providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (NY) | 01951633 | |
| 01 (TX) | 752616977008 | TRICARE |
| 05 (TX) | 189237401 | |
| 01 (NY) | 000560448001 | BLUE CROSS BLUE SHIELD |
| 01 (TX) | 8Y2322 | BCBS |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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