NPI age
20 years
Enumerated 2006-03-24
Across 152 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 370022575 | RR/MEDICARE |
| 01 (TX) | 8G5398 | BLUE SHIELD |
| 05 (TX) | 1538365-03 | |
| 01 (TX) | 1538365-04 | CSHCN |
Part of a multi-provider practice. 135 other active providers share this practice address in NPPES.
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