NPI age
20 years
Enumerated 2006-02-07
Across 201 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8EE626 | BCBSTX |
| 01 (TX) | 8G9574 | BCBSTX |
| 01 (TX) | M4020 | MEDICAL LICENSE |
Part of a multi-provider practice. 43 other active providers share this practice address in NPPES.
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