NPI age
19 years
Enumerated 2006-08-08
Across 22123 active nurse practitioner providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | AP115185 | APRN LICENSE |
| 01 (TX) | 07077 | PRESCRIPTION ID # |
| 05 (TX) | 183965604 | |
| 01 (TX) | 722028 | TX LICENSE # |
| 05 (TX) | 183965605 |
Solo or small practice. No other active providers share this practice address in NPPES.
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