NPI age
20 years
Enumerated 2006-02-13
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 121233404 | |
| 05 (TX) | 121233406 | |
| 01 (TX) | 8W4548 | BLUE CROSS |
Part of a multi-provider practice. 23 other active providers share this practice address in NPPES.
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