NPI age
14 years
Enumerated 2011-06-06
Across 729 active pediatrics providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 340903902 | |
| 05 (TX) | 340903901 |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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