NPI age
19 years
Enumerated 2006-08-24
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 174733901 | |
| 01 (TX) | 8H0435 | BC/BS OF TEXAS |
| 01 (TX) | T0142447 | DPS |
Part of a multi-provider practice. 35 other active providers share this practice address in NPPES.
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