NPI age
19 years
Enumerated 2007-03-07
Across 729 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (AZ) | 605-6530 | NEONATAL RESUSITATIO |
| 01 (AZ) | 36625 | AZ MEDICAL LICENSE |
| 01 (TX) | N6299 | TEXAS LICENSE |
Part of a multi-provider practice. 846 other active providers share this practice address in NPPES.
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