NPI age
20 years
Enumerated 2006-04-04
Across 223 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (NC) | 891299N | |
| 01 (NC) | 1299N | BCBS |
| 01 (NC) | 930114368 | RAILROAD |
Part of a multi-provider practice. 846 other active providers share this practice address in NPPES.
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