NPI age
19 years
Enumerated 2006-08-31
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 8B8062 | BCBS |
| 01 | 3277604 | BLUE LINK |
| 01 | 86159 | AMERIGROUP |
| 01 | 0094GS | BCBS |
| 01 (TX) | 110866 | SUPERIOR |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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