NPI age
18 years
Enumerated 2007-07-30
Across 7055 active pediatrics providers in Texas.
4 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 093881502 | |
| 01 (TX) | 0049EB | BLUE SHIELD |
| 05 (TX) | 092381501 |
Multi-provider organization. 4 individual providers on file at this primary address.
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