NPI age
20 years
Enumerated 2005-07-13
Across 22123 active nurse practitioner providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 0383630-02 | |
| 01 (TX) | 559456 | STATE LICENSE |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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