NPI age
19 years
Enumerated 2007-05-19
Across 383 active pediatrics providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (AL) | 196552 | |
| 05 (MS) | 09200561 |
Part of a multi-provider practice. 802 other active providers share this practice address in NPPES.
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