NPI age
20 years
Enumerated 2006-04-25
Across 383 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 105043711 TRAD | |
| 05 (TX) | 105043712 CSN | |
| 01 (TX) | 8DL540 | BCBS |
Part of a multi-provider practice. 187 other active providers share this practice address in NPPES.
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