NPI age
19 years
Enumerated 2006-08-30
Across 383 active pediatrics providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (IN) | 200468220 | |
| 05 (TX) | 345974502 | |
| 05 (WV) | 3810016817 | |
| 05 (VT) | 1011478 | |
| 05 (OH) | 2742134 | |
| 05 (KY) | 7100315820 |
Part of a multi-provider practice. 246 other active providers share this practice address in NPPES.
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