NPI age
19 years
Enumerated 2007-03-06
Across 7055 active pediatrics providers in Texas.
7 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0026KP | BCBS GRP # |
| 05 (TX) | 159585201 | |
| 05 (TX) | 159585202 |
Multi-provider organization. 7 individual providers on file at this primary address.
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