NPI age
20 years
Enumerated 2005-11-28
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 157839502 | |
| 01 (TX) | 850520 | BLUE CROSS BLUE SHIELD |
| 01 (TX) | 201581079 | TRICARE |
| 01 (TX) | 157839502 | SUPERIOR CHIP |
| 01 (TX) | 84506 | SCOTT & WHITE |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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