NPI age
13 years
Enumerated 2012-09-03
Across 22123 active nurse practitioner providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | DO7564 | RR GROUP |
| 01 (TX) | P01111340 | RR MEDICARE PTAN |
| 05 (TX) | 2035487-04 | |
| 05 (TX) | 3089625-01 | |
| 01 (TX) | 890N47 | BCBS PTAN |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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