NPI age
14 years
Enumerated 2011-09-26
Across 5264 active nurse practitioner providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | F0911153 | CERTIFICATION |
| 01 (TX) | 669812 | LICENSE |
| 01 (TX) | AP120879 | LICENSE |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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