NPI age
14 years
Enumerated 2012-01-25
Across 729 active pediatrics providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1134490915 | |
| 05 (WA) | 1134490915 |
Part of a multi-provider practice. 70 other active providers share this practice address in NPPES.
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