NPI age
21 years
Enumerated 2005-05-23
Across 7055 active pediatrics providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 10030167 | AMERIGROUP |
| 05 (TX) | 042819502 | |
| 01 (TX) | 101819 | SUPERIOR CHIPS |
Part of a multi-provider practice. 38 other active providers share this practice address in NPPES.
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