NPI age
19 years
Enumerated 2007-03-15
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (IN) | 100356530 | |
| 01 (IN) | P01456893 | MEDICARE RAILROAD PTAN |
Part of a multi-provider practice. 76 other active providers share this practice address in NPPES.
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