NPI age
19 years
Enumerated 2006-09-15
Across 321 active pediatrics providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 135775804 | |
| 01 (TX) | 370020767 | RR MEDICARE |
| 01 (TX) | 82M559 | BCBS |
Part of a multi-provider practice. 65 other active providers share this practice address in NPPES.
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