NPI age
19 years
Enumerated 2006-06-13
Across 321 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (OK) | 100015530A | |
| 05 (TX) | 101757605 | |
| 05 (TX) | 101757601 | |
| 01 (TX) | 101757604 | CSHCN |
| 05 (NM) | 09835831 | |
| 01 (TX) | 8R1446 | BLUE CROSS OF TEXAS |
| 05 (TX) | 101757603 |
Part of a multi-provider practice. 523 other active providers share this practice address in NPPES.
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