NPI age
19 years
Enumerated 2007-04-23
Across 112 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 193979504 | |
| 05 (OK) | 200217180 A | |
| 05 (NM) | 41883756 | |
| 01 (TX) | 8L0046 | MEDICARE |
| 05 (TX) | 193979501 | |
| 05 (TX) | 193979502 | |
| 01 (TX) | 193979503 | MEDICAID - CSHCN |
Part of a multi-provider practice. 191 other active providers share this practice address in NPPES.
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