NPI age
19 years
Enumerated 2006-06-27
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 80800S | BLUE CROSS BLUE SHIELD |
| 01 (TX) | 2031257 | AETNA |
| 01 (TX) | 281353701 | MEDICAID GROUP |
| 05 (TX) | 037572702 | |
| 01 (TX) | 1464015001 | CIGNA |
| 01 (TX) | 281353701 | MEDICAID EP1 |
Solo or small practice. No other active providers share this practice address in NPPES.
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