NPI age
18 years
Enumerated 2008-04-01
Across 321 active pediatrics providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (LA) | 2150138 | |
| 05 (MS) | 06400061 |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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