NPI age
20 years
Enumerated 2006-05-17
Across 7055 active pediatrics providers in Texas.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 50016213 | DPS |
| 01 (TX) | D3726 | STATE LICENSE |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 2 individual providers on file at this primary address.
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