NPI age
14 years
Enumerated 2011-12-13
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8FR977 | BCBSTX |
| 05 (TX) | 351681701 | |
| 01 (TX) | 351681702 | CSHCN |
Solo or small practice. No other active providers share this practice address in NPPES.
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