NPI age
20 years
Enumerated 2006-04-04
Across 7055 active pediatrics providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 175438405 | |
| 01 (TX) | 175438406 | CSHCN |
| 05 (TX) | 175438401 | |
| 01 | 8W7649 | BCBSTX |
Part of a multi-provider practice. 1646 other active providers share this practice address in NPPES.
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