NPI age
20 years
Enumerated 2006-02-13
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 370009031 | MEDICARE RAILROAD |
| 01 (TX) | EV082Z310 | BCBS |
| 05 (TX) | 135158705 | |
| 05 (TX) | 135158710 | |
| 05 (TX) | 135158711 | |
| 01 (TX) | 5598227 | AETNA |
| 01 (TX) | TIN PLUS SUFFIX 027 | TRICARE |
| 01 (TX) | 123073 | CHIPS |
| 05 (TX) | 135158712 | |
| 01 (TX) | 018024201 | EPSDT |
Part of a multi-provider practice. 15 other active providers share this practice address in NPPES.
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