NPI age
19 years
Enumerated 2006-06-15
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1773210-02 | |
| 01 (TX) | 8BR069 | BCBS |
| 05 (TX) | 177321003 | |
| 01 (TX) | 8F5194 | BCBS |
Part of a multi-provider practice. 18 other active providers share this practice address in NPPES.
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