NPI age
19 years
Enumerated 2006-07-03
Across 143 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (MS) | 00123150 | |
| 05 (LA) | 1436305 |
Part of a multi-provider practice. 995 other active providers share this practice address in NPPES.
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