NPI age
19 years
Enumerated 2006-06-09
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1265475891 | GROUP NPI |
| 05 (TX) | 169952201 | |
| 01 (TX) | 173321402 | MEDICAID-GROUP EPSDT |
| 01 (TX) | 173321401 | MEDICAID-GOUP TPI |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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