NPI age
19 years
Enumerated 2007-02-19
Across 22123 active nurse practitioner providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 342658701 | |
| 01 (TX) | AP124271 | STATE LICENSE |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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