NPI age
19 years
Enumerated 2006-07-03
Across 7055 active pediatrics providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (MO) | 181341 | ANTHEM |
| 05 (AR) | 215364001 | |
| 05 (OK) | 200014340A | |
| 05 (KS) | 100643070A | |
| 05 (MO) | 209083005 |
Part of a multi-provider practice. 15 other active providers share this practice address in NPPES.
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