NPI age
19 years
Enumerated 2006-06-26
Across 1011 active nurse practitioner providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 00Z020 | MEDICARE GROUP # |
| 05 (TX) | 029330002 | |
| 01 | 00954U | C&K GROUP MCB # |
| 05 (TX) | 029330003 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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