NPI age
19 years
Enumerated 2006-09-21
Across 130 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 169920902 | |
| 01 (TX) | 8P9490 | BCBS |
| 05 (TX) | 092234604 | |
| 01 (TX) | 7813 | CHOICE ONE CHIPS |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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