NPI age
19 years
Enumerated 2006-09-14
Across 22123 active nurse practitioner providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | PENDING | BCBSTX |
| 01 (TX) | 1700982345 | 363L00000X |
| 05 (TX) | 174797408 | |
| 05 (TX) | PENDING |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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