NPI age
19 years
Enumerated 2006-08-09
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 127144702 | |
| 01 (TX) | 125811100 | FIRSTCARE - HMO |
| 01 (TX) | 113922 | CHIP |
| 01 (TX) | 86X082 | BCBS |
Part of a multi-provider practice. 23 other active providers share this practice address in NPPES.
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