NPI age
13 years
Enumerated 2012-08-11
Across 152 active pediatrics providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (IN) | 201230860 | |
| 05 (TX) | 379806801 | |
| 01 (TX) | 8HF356 | BCBS |
| 01 (TX) | P01938229 | MEDICARE RAIL ROAD |
Part of a multi-provider practice. 15 other active providers share this practice address in NPPES.
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