NPI age
19 years
Enumerated 2006-06-02
Across 351 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8H9850 | BCBSTX |
| 05 (TX) | 118748604 | |
| 01 (TX) | 11887486 | CSHCN |
Solo or small practice. No other active providers share this practice address in NPPES.
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