NPI age
8 years
Enumerated 2018-01-21
Across 201 active pediatrics providers in Texas.
1 secondary location on file with NPPES.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | P8109 | TEXAS MEDICAL LICENSE |
| 05 (TX) | 3850406 |
Multi-provider organization. 1 individual provider on file at this primary address. Plus 1 secondary practice location.
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