NPI age
19 years
Enumerated 2006-06-17
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8F5193 | BCBS |
| 01 (TX) | 8M2957 | BCBS |
| 05 (TX) | 1463507-04 | |
| 05 (TX) | 146350705 |
Part of a multi-provider practice. 18 other active providers share this practice address in NPPES.
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