NPI age
19 years
Enumerated 2006-10-18
Across 7055 active pediatrics providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 85M551 | BC/BS OF TEXAS |
| 01 (TX) | 65128 | STAR PLUS PROGRAM |
Multi-provider organization. 1 individual provider on file at this primary address.
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