NPI age
19 years
Enumerated 2007-03-08
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 177703901 | |
| 01 (TX) | 8F8011 | BCBS |
Part of a multi-provider practice. 21 other active providers share this practice address in NPPES.
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