NPI age
18 years
Enumerated 2007-10-25
Across 7055 active pediatrics providers in Texas.
4 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (IA) | 71371 | WELLMARK BCBS |
| 01 (TX) | T4534 | LICENSE |
Part of a multi-provider practice. 4085 other active providers share this practice address in NPPES.
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