NPI age
7 years
Enumerated 2019-01-07
Across 22123 active nurse practitioner providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8LT678 | BCBS |
| 01 (TX) | 402921702 | MEDICAID-CSHCN |
| 05 (TX) | 402921701 |
Part of a multi-provider practice. 3675 other active providers share this practice address in NPPES.
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