NPI age
13 years
Enumerated 2013-01-18
Across 7055 active pediatrics providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (AR) | 5YY24 | AR BCBS |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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