NPI age
19 years
Enumerated 2006-06-16
Across 7055 active pediatrics providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 160107204 | |
| 01 (TX) | P00048265 | RAILROAD MEDICARE |
| 01 (TX) | 8P8110 | BLUE CROSS BLUE SHIELD |
| 01 (TX) | 121087 | SUPERIOR |
| 05 (TX) | 160107206 | |
| 05 (TX) | 164422102 |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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