NPI age
19 years
Enumerated 2006-06-13
Across 112 active pediatrics providers in Texas.
5 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (OH) | 2247296 | |
| 01 (OH) | H617580 | CGS-MEDICARE |
Part of a multi-provider practice. 46 other active providers share this practice address in NPPES.
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