NPI age
19 years
Enumerated 2006-11-09
Across 5095 active nurse practitioner providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | TXB144721 | MEDICARE PTAN |
| 01 (AK) | 221394 | APRN LICENSE |
| 01 (TX) | 00NP7501 | BC/BS-TX |
| 05 (TX) | 208391703 |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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