NPI age
18 years
Enumerated 2007-11-27
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 218136404 | |
| 01 (TX) | 173321401 | GROUP TPI |
| 01 (TX) | 1265475891 | GROUP NPI NUMBER |
| 01 (TX) | 173321402 | GROUP TPI NUMBER-EPSDT |
| 05 (TX) | 218136401 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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