NPI age
20 years
Enumerated 2006-05-25
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 82760K | BCBSTX |
| 05 (TX) | 128819302 | |
| 01 (TX) | 128819305 | CSHCN |
Part of a multi-provider practice. 415 other active providers share this practice address in NPPES.
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