NPI age
20 years
Enumerated 2006-03-24
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 092439103 | |
| 01 (TX) | 75-2950731 | TAX I.D |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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