NPI age
20 years
Enumerated 2005-12-06
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 100753607 | |
| 05 (TX) | 100753617 | |
| 01 (TX) | 80414G | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 100753601 | |
| 05 (TX) | 100753604 | |
| 05 (TX) | 100753602 | |
| 05 (TX) | 100753609 | |
| 05 (TX) | 100753605 | |
| 05 (TX) | 100753608 | |
| 05 (TX) | 100753615 | |
| 05 (TX) | 100753606 | |
| 05 (TX) | 100753611 | |
| 05 (TX) | 100753613 | |
| 05 (TX) | 100753616 |
Part of a multi-provider practice. 15 other active providers share this practice address in NPPES.
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