NPI age
18 years
Enumerated 2007-06-20
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (MS) | 04452864 | |
| 05 (LA) | 1014508 |
Part of a multi-provider practice. 846 other active providers share this practice address in NPPES.
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