NPI age
20 years
Enumerated 2006-03-22
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (CT) | 010042497CT01 | BCS |
| 05 (TX) | 282923603 | |
| 05 (CT) | 004236164 | |
| 01 (CT) | 042497 | CTC |
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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