NPI age
20 years
Enumerated 2005-12-13
Across 140 active nurse practitioner providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1942285846 | TRICARE SOUTH |
| 05 (TX) | 203903402 | |
| 01 (TX) | 89N853 | BCBSTX PROV. NO. |
| 05 (TX) | 203903401 |
Part of a multi-provider practice. 91 other active providers share this practice address in NPPES.
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