NPI age
18 years
Enumerated 2008-04-04
Across 130 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 172864401 | |
| 05 (TX) | 200669401 | |
| 05 (TX) | 172864402 | |
| 01 (TX) | 208000000X | TAXONOMY NUMBER |
| 01 (TX) | 742361414 | TAX IDENTIFICATION NUMBER |
Part of a multi-provider practice. 45 other active providers share this practice address in NPPES.
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