NPI age
11 years
Enumerated 2014-09-19
Across 7055 active pediatrics providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 191099401 | |
| 05 (AR) | 226633001 |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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