NPI age
20 years
Enumerated 2006-02-06
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (KY) | 65936305 | |
| 05 (TX) | 2203614 | |
| 05 (TX) | 220361406 | |
| 05 (KY) | 64067515 |
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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