NPI age
19 years
Enumerated 2006-06-15
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 280591304 | |
| 05 (NJ) | 02068922 | |
| 05 (NM) | 48021784 |
Solo or small practice. No other active providers share this practice address in NPPES.
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