NPI age
19 years
Enumerated 2006-07-05
Across 7055 active pediatrics providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 137345810 | CSHCN GROUP |
| 01 (TX) | 140442852 | MEDICAID GROUP |
| 01 (TX) | 197453702 | CSHCN |
| 05 (GA) | 368699535B | |
| 01 | 1750369203 | GROUP NPI |
| 05 (TX) | 197453701 |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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