NPI age
19 years
Enumerated 2006-10-04
Across 729 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (OK) | 100043040 A | |
| 05 (TX) | 138267309 | |
| 05 (TX) | 138267301 | |
| 05 (NM) | 000U7977 |
Part of a multi-provider practice. 191 other active providers share this practice address in NPPES.
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