NPI age
14 years
Enumerated 2011-09-20
Across 5264 active nurse practitioner providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 2930422 | |
| 01 | 738639 | TEXAS BOARD OF NURSING NP LICENSE |
| 01 (TX) | F0811448 | AANP |
| 01 (TX) | AP120947 | FNP LICENSE |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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