NPI age
6 years
Enumerated 2020-02-10
Across 22123 active nurse practitioner providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 410593401 | |
| 01 (TX) | 8MK736 | BCBS |
| 01 (TX) | P02447279 | MEDICARE RAIL ROAD |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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