NPI age
14 years
Enumerated 2012-03-06
Across 729 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 75-2616977-042 | TRICARE |
| 01 (TX) | P01073155 | RAIL ROAD |
| 05 (TX) | 295428102 | |
| 01 (TX) | 8DD807 | BCBS |
Part of a multi-provider practice. 321 other active providers share this practice address in NPPES.
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