NPI age
20 years
Enumerated 2005-09-26
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (OK) | 200584180A | |
| 05 (TX) | 346249101 |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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