NPI age
12 years
Enumerated 2014-04-14
Across 152 active pediatrics providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | R2468 | MEDICAL BOARD |
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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