NPI age
19 years
Enumerated 2006-09-16
Across 223 active pediatrics providers in Texas.
4 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 134992008 | |
| 01 (TX) | 121320100 | FIRSTCARE PIN |
| 05 (TX) | 137283103 | |
| 01 (TX) | 5040636 | AETNA PIN |
| 05 (TX) | 137345805 | |
| 01 (TX) | 4731603 | CIGNA PIN |
| 01 (TX) | 10022295 | AMERIGROUP PIN |
| 01 (TX) | 00L42V | BCBSTX GRP PIN |
| 01 (TX) | 108867 | SUPERIOR PIN |
| 01 | 1669442042 | GRP NPI NUMBER |
| 01 (TX) | 1854186 | FIRSTHEALTH PIN |
| 01 (TX) | 88629X | BCBSTX IND PIN |
| 05 (TX) | 134992007 | |
| 01 (TX) | 1415257 | UHC PIN |
Part of a multi-provider practice. 802 other active providers share this practice address in NPPES.
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