NPI age
12 years
Enumerated 2014-02-06
Across 7055 active pediatrics providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (NM) | 1447674858 | BCBS NM |
| 05 (NM) | 27022242 | |
| 01 (TX) | 8SL700 | BCBS |
| 05 (TX) | 1447674858 | |
| 01 (TX) | 2I6403 | MEDICARE |
Solo or small practice. No other active providers share this practice address in NPPES.
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