NPI age
20 years
Enumerated 2006-05-25
Across 7055 active pediatrics providers in Texas.
17 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (NJ) | 6565808 | |
| 01 | 0-425-814-1 | ECFMG |
| 01 (TX) | M9795 | STATE LICENSE NO. |
| 01 (NJ) | DO66647 | CDS |
| 01 (TX) | 195191501 | TPI |
Multi-provider organization. 17 individual providers on file at this primary address.
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