NPI age
19 years
Enumerated 2006-12-04
Across 7055 active pediatrics providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1538208038 | |
| 05 (TX) | 084901001 | |
| 05 (TX) | 08490101.02 | |
| 05 (TX) | 091753602 |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 1 individual provider on file at this primary address.
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