NPI age
20 years
Enumerated 2006-03-23
Across 729 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1008773-04 | |
| 01 (TX) | 8U1884 | BCBS OF TEXAS |
| 05 (TX) | 1008773-03 |
Part of a multi-provider practice. 523 other active providers share this practice address in NPPES.
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