NPI age
18 years
Enumerated 2008-03-07
Across 351 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (VA) | 1740450600 | |
| 05 (PA) | 102689039 | |
| 05 (DE) | 250027839 |
Part of a multi-provider practice. 3675 other active providers share this practice address in NPPES.
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