NPI age
20 years
Enumerated 2006-05-06
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 00MF72 | BLUE CROSS BLUE SHIELD |
| 01 (TX) | 0525246 | UNITED HEALTHCARE |
| 01 (TX) | 6909402 | CIGNA |
| 01 (TX) | 20362682 | BEECH STREET |
| 01 (TX) | 742171395001 | HUMANA/MILITARY-TRICARE |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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