NPI age
19 years
Enumerated 2006-07-07
Across 729 active pediatrics providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (KY) | 000000780853 | ANTHEM - KCNS |
| 05 (KY) | 64938848 | |
| 05 (IN) | 20034700 | |
| 01 (LA) | 50042407 | PASSPORT - KCNS |
| 01 (KY) | 138991 | SIHO - KCNS |
Solo or small practice. No other active providers share this practice address in NPPES.
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