NPI age
19 years
Enumerated 2006-07-24
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | J2926 | STATE MEDICAL LISCENCE |
| 01 (TX) | 370007264 | RR MEDICARE |
| 05 (TX) | 105660801 |
Solo or small practice. No other active providers share this practice address in NPPES.
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