NPI age
18 years
Enumerated 2007-06-14
Across 7055 active pediatrics providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 350763403 | |
| 01 | 3805159053 | MYUTMB 3805159053-COMMERCIAL NUMBER |
| 05 (TX) | 350763402 |
Part of a multi-provider practice. 17 other active providers share this practice address in NPPES.
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