NPI age
19 years
Enumerated 2006-08-01
Across 383 active pediatrics providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 136110708 | CIDC |
| 05 (TX) | 136110712 | |
| 01 (TX) | 136110713 | CSHCN |
| 05 (TX) | 136110709 |
Part of a multi-provider practice. 1646 other active providers share this practice address in NPPES.
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