NPI age
11 years
Enumerated 2014-12-22
Across 22123 active nurse practitioner providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (MD) | R182801 | STATE LICENSE |
| 01 (MD) | F1114030 | BOARD CERTIFICATION - AMERICAN ACADEMY OF NURSE PRACTITIONERS |
Solo or small practice. No other active providers share this practice address in NPPES.
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