NPI age
9 years
Enumerated 2017-05-12
Across 729 active pediatrics providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1043747769 | NPI |
| 05 (FL) | 116047900 | |
| 01 (FL) | 3FZ12 | BLUE CROSS BLUE SHIELD |
| 01 | U3361 | TEXAS MEDICAL BOARD |
Part of a multi-provider practice. 195 other active providers share this practice address in NPPES.
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