NPI age
20 years
Enumerated 2006-02-10
Across 383 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (AZ) | 832164 | |
| 05 (AZ) | 832164-06 | |
| 05 (IL) | 036095275 |
Part of a multi-provider practice. 43 other active providers share this practice address in NPPES.
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