NPI age
19 years
Enumerated 2006-06-15
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 187196401 | |
| 01 (TX) | 8V0289 | BCBS |
| 01 (TX) | 0073PT | BCBS |
| 01 (TX) | 8AA311 | BCBS |
Part of a multi-provider practice. 102 other active providers share this practice address in NPPES.
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