NPI age
20 years
Enumerated 2006-03-21
Across 113 active pediatrics providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (FL) | 2722356-00 | |
| 05 (GA) | 585150970A |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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