NPI age
20 years
Enumerated 2005-07-14
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 4259770 | AETNA |
| 01 (TX) | 00J913 | BLUE CROSS BLUE SHIELD |
Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.
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