NPI age
20 years
Enumerated 2006-01-26
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 5152004 | AETNA |
| 01 (TX) | TAX ID AND 027 | TRICARE |
| 01 (TX) | 122991 | SUPERIOR/CHIPS |
| 01 (TX) | 83Y676 | BCBS |
| 05 (TX) | 136283211 | |
| 01 (TX) | 8DC103 | BCBS |
| 05 (TX) | 136283212 | |
| 01 (TX) | 752616977118 | TRICARE |
| 05 (TX) | 136283208 |
Part of a multi-provider practice. 17 other active providers share this practice address in NPPES.
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