NPI age
12 years
Enumerated 2014-03-06
Across 7055 active pediatrics providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1124064779 | NPI |
| 01 (TX) | 0044ZT | BCBSTX |
| 05 (TX) | 334619901 | |
| 01 (TX) | 334619902 | MEDICAID-THSTEPS |
| 01 (TX) | 334619903 | MEDICAID- CSHCN |
Multi-provider organization. 1 individual provider on file at this primary address.
Subpart of Nag Clinics.
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