NPI age
20 years
Enumerated 2005-08-01
Across 130 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8A2060 | BLUE CROSS BLUE SHIELD |
| 01 | 1619978640 | NATIONAL PROVIDER NUMBER |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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