NPI age
20 years
Enumerated 2005-10-19
Across 139 active pharmacy providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 112816701 | |
| 01 | 2104505 | PK |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
Subpart of Methodist Children'S Hospital.
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