NPI age
19 years
Enumerated 2007-01-09
Across 729 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (AL) | 130791 | |
| 05 (LA) | 2177184 | |
| 05 (MS) | 00189001 |
Solo or small practice. No other active providers share this practice address in NPPES.
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