NPI age
17 years
Enumerated 2008-07-10
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (NM) | 201041812 | |
| 05 (TX) | 406890001 | |
| 05 (ME) | 433096999 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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