NPI age
19 years
Enumerated 2007-05-17
Across 31 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 00R86C | MEDICARE GROUP NPI |
| 01 (TX) | 084933301 | TMHP/MEDICAID GROUP TPI |
| 05 (TX) | 195476005 |
Part of a multi-provider practice. 420 other active providers share this practice address in NPPES.
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