NPI age
19 years
Enumerated 2006-07-27
Across 351 active pediatrics providers in Texas.
20 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 00X509 | MEDICARE |
| 01 (TX) | 0005 | TRICARE |
| 01 (TX) | 00X507 | MEDICARE |
| 05 (TX) | 186853101 | |
| 01 (TX) | 0067GW | BCBS |
| 05 (TX) | 200052430A | |
| 01 (TX) | 0006 | TRICARE |
| 01 (TX) | 00X508 | MEDICARE |
| 05 (TX) | 183525803 | |
| 01 (TX) | 00413Y | MEDICARE |
| 05 (TX) | 183525801 | |
| 05 (TX) | 183525802 | |
| 05 (TX) | 186765701 | |
| 01 (TX) | 5539639 | AETNA |
Multi-provider organization. 20 individual providers on file at this primary address.
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