NPI age
19 years
Enumerated 2006-08-03
Across 3226 active nurse practitioner providers in Texas.
5 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 146749003 | |
| 01 (TX) | 752616977096 | TRICARE |
| 01 (TX) | TIN PLUS 096 | TRICARE |
| 05 (TX) | 146749002 | |
| 01 (TX) | 75-2616977-123 | TRICARE |
| 01 (TX) | 8N8980 | BCBS PROVIDER # |
| 01 (TX) | 8Y9250 | BCBS |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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