NPI age
20 years
Enumerated 2006-05-05
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8AW552 | BCBS |
| 01 (TX) | 0011PJ | BLUE CROSS BLUE SHIELD |
| 01 (TX) | 201844383 | TAX ID |
| 01 (TX) | 111786303 | TPI |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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