NPI age
20 years
Enumerated 2006-02-23
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 115229001 | |
| 05 (TX) | 115229004 | |
| 05 (TX) | 115229005 | |
| 05 (TX) | 115229006 | |
| 01 (TX) | 84307F | BCBS |
Part of a multi-provider practice. 18 other active providers share this practice address in NPPES.
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