NPI age
17 years
Enumerated 2008-12-05
Across 7055 active pediatrics providers in Texas.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 200598502 | MEDICAID TPI- GROUP HEALTH STEPS |
| 01 (TX) | 200598501 | MEDICAID TPI - GROUP |
| 01 (TX) | 200601701 | MEDICAID TX INDIVIDUAL TPI |
| 01 (TX) | L8604 | LICENSE |
Multi-provider organization. 2 individual providers on file at this primary address.
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