NPI age
19 years
Enumerated 2006-10-14
Across 223 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 376604YLEX | MEDICARE PTAN |
| 05 (TX) | 342204001 | |
| 01 (NJ) | 0034126 | MEDICAID PIN |
Part of a multi-provider practice. 69 other active providers share this practice address in NPPES.
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