# NHI P LE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1003808163
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | K9105 | TX | Yes |
| 207R00000X | Internal Medicine Physician | K9105 | TX | — |

## Other

- **Enumeration date:** 08/16/2005
- **Last updated:** 06/21/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0060466 | BLUE LINK | TX |
| 05 | — | 030189902 | — | TX |
| 05 | — | 030819901 | — | TX |
| 01 | — | 110202064 | RAIL ROAD MEDICARE | TX |
| 01 | — | 7160045 | AETNA | TX |
| 01 | — | 8AD895 | BC/BS | TX |
| 01 | — | 943417821 | TAX ID | TX |