NPI age
19 years
Enumerated 2006-08-30
Across 383 active pediatrics providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (MI) | 1023127131 | |
| 05 (TX) | 217979801 | |
| 05 (IL) | 036069391 | |
| 05 (LA) | 1800155 | |
| 05 (IN) | 200288950 | |
| 05 (MO) | 206300303 |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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