NPI age
20 years
Enumerated 2006-05-28
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 135718809 | |
| 01 (TX) | 0038MN | BLUECROSSS BLUESHIELD |
| 01 (TX) | N0089582 | TEXAS CONTROLLED SUBSTANC |
| 01 (TX) | 16758440 | DRIVER'S LICENSE |
| 05 (TX) | 170867901 | |
| 05 (TX) | 170867902 | |
| 01 (TX) | J7177 | STATE MEDICAL LICENSE |
| 01 (TX) | 45D1037942 | CLIA |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →