NPI age
19 years
Enumerated 2006-07-17
Across 729 active pediatrics providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (NC) | 143GV | BCBSNC |
| 05 (NC) | 5906317 |
Part of a multi-provider practice. 958 other active providers share this practice address in NPPES.
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