NPI age
20 years
Enumerated 2005-08-31
Across 113 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (OH) | H308790 | CGS - MEDICARE |
| 05 (OH) | 0099302 |
Part of a multi-provider practice. 53 other active providers share this practice address in NPPES.
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