NPI age
17 years
Enumerated 2008-06-03
Across 201 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (MS) | 07729201 | |
| 05 (TX) | 205844805 |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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