NPI age
19 years
Enumerated 2006-06-20
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 145956201 | |
| 01 | 8F2890 | BCBS |
| 01 | 120285 | CHIPS |
| 01 | 145956202 | THSTEPS |
Solo or small practice. No other active providers share this practice address in NPPES.
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