NPI age
19 years
Enumerated 2007-05-16
Across 351 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (MS) | 02432061 | |
| 05 (AL) | 194682 | |
| 01 (MS) | 302I375507 | MEDICARE PTAN |
Part of a multi-provider practice. 23 other active providers share this practice address in NPPES.
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