NPI age
19 years
Enumerated 2006-06-29
Across 982 active nurse practitioner providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 527105 | STATE LICENSE # |
| 01 (TX) | 80N279 | BLUE CROSS & BLUE SHIELD |
Part of a multi-provider practice. 27 other active providers share this practice address in NPPES.
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