NPI age
20 years
Enumerated 2005-10-07
Across 729 active pediatrics providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (WV) | 6701229 | |
| 05 (OH) | 0105380 | |
| 05 (KY) | 64961451 |
Part of a multi-provider practice. 995 other active providers share this practice address in NPPES.
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