NPI age
15 years
Enumerated 2011-01-04
Across 7055 active pediatrics providers in Texas.
5 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 423998001 | |
| 05 (WI) | 1083918163 |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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