NPI age
20 years
Enumerated 2005-12-15
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 118627604 | |
| 01 (TX) | 8V8540 | BLUE CROSS & BLUE SHIELD |
| 01 (TX) | 116839 | SUPERIOR HEALTH PLANS |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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