NPI age
18 years
Enumerated 2007-06-14
Across 7055 active pediatrics providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 208594603 | |
| 05 (TX) | 208594602 |
Part of a multi-provider practice. 128 other active providers share this practice address in NPPES.
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