NPI age
19 years
Enumerated 2006-11-15
Across 729 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 4900903006 | CIGNA |
| 01 (TX) | 000005710529 | UNITED HEALTHCARE |
| 01 (TX) | 685602 | AETNA |
| 01 (TX) | 127413 | AETNA |
| 01 (TX) | 00AW43 | BLUE CROSS BLUE SHIELD |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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