NPI age
19 years
Enumerated 2007-03-08
Across 729 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 118146303 | |
| 01 (TX) | 8G8302 | BCBS PIN # |
Part of a multi-provider practice. 61 other active providers share this practice address in NPPES.
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