NPI age
20 years
Enumerated 2006-05-12
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 159406102 | |
| 05 (TX) | 092466405 | |
| 05 (TX) | 159406101 | |
| 01 (TX) | 8K0400 | BLUECROSS PROVIDER ID |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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