NPI age
17 years
Enumerated 2008-06-29
Across 7055 active pediatrics providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (NM) | 12332267 | |
| 01 (TX) | 572029YK73 | MEDICARE |
Part of a multi-provider practice. 18 other active providers share this practice address in NPPES.
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