NPI age
9 years
Enumerated 2017-01-31
Across 3226 active nurse practitioner providers in Texas.
4 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1962949768 | |
| 01 (TX) | 75-2616977-042 | TRICARE |
| 05 (TX) | 369270901 | |
| 01 (TX) | 8229MC | BCBS |
| 01 (TX) | P01812736 | RAIL ROAD MEDICARE |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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