NPI age
19 years
Enumerated 2006-12-01
Across 729 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 212717702 | |
| 05 (CA) | 00G591150 |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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