NPI age
19 years
Enumerated 2006-07-30
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (FL) | ME66735 | MEDICAL LICENSE |
| 05 (FL) | 273225400 |
Part of a multi-provider practice. 15 other active providers share this practice address in NPPES.
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