NPI age
19 years
Enumerated 2006-10-04
Across 383 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 000511197001 | BC/BS |
| 05 (PA) | 0010869770001 | |
| 05 (NY) | 01260737 | |
| 01 | 040426000867 | FIDELIS |
| 01 | 9409268 | IHA |
| 01 | 00010058901 | UNIVERA |
Part of a multi-provider practice. 185 other active providers share this practice address in NPPES.
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