NPI age
19 years
Enumerated 2007-05-10
Across 130 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 186145202 | CSHCN |
| 01 (TX) | 8W7645 | BCBS |
| 05 (TX) | 186145201 |
Part of a multi-provider practice. 53 other active providers share this practice address in NPPES.
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