NPI age
18 years
Enumerated 2007-08-05
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 215628301 | |
| 05 (TX) | 215628302 | |
| 01 | 4661832137 | MYUTMB 4661832137 |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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