NPI age
19 years
Enumerated 2006-07-31
Across 383 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 136970410 | |
| 05 (NM) | X4469 | |
| 05 (TX) | 136970412 | |
| 05 (TX) | 136970413 | |
| 05 (OK) | 100152890A | |
| 05 (TX) | 136970411 | |
| 01 (TX) | 8E0575 | MEDICARE |
Part of a multi-provider practice. 191 other active providers share this practice address in NPPES.
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