NPI age
18 years
Enumerated 2007-10-19
Across 201 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 8G3620 | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 104482806 |
Part of a multi-provider practice. 41 other active providers share this practice address in NPPES.
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