NPI age
10 years
Enumerated 2016-05-07
Across 4038 active specialist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 11122208 | IBCLC |
| 01 (TX) | 533482 | RN LICENSE |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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