NPI age
19 years
Enumerated 2006-08-04
Across 130 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0059DJ | BLUE CROSS BLUE SHIELD |
| 01 (TX) | 82920X | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 060378901 | |
| 05 (TX) | 092298102 | |
| 01 (TX) | 4331614 | AETNA |
| 05 (TX) | 092297101 |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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