NPI age
19 years
Enumerated 2006-12-31
Across 7055 active pediatrics providers in Texas.
7 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 10012296 | AMERIGROUP HEALTH PLAN ID |
| 01 (TX) | 00DQ6K | BLUE CROSS BLUE SHIELD |
| 01 (TX) | EPSDT MEDICAID GROUP | EPSDT MEDICAID GROUP NUMB |
Multi-provider organization. 7 individual providers on file at this primary address.
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