NPI age
14 years
Enumerated 2012-01-05
Across 143 active pediatrics providers in Texas.
3 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 2934692002 | CIGNA |
| 01 (TX) | 015857-0082 | PACIFICARE |
| 05 (TX) | 1151805-04 | |
| 01 (TX) | 2916754 | AETNA |
| 01 (TX) | A003 | TRICARE |
Multi-provider organization. 3 individual providers on file at this primary address.
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