NPI age
19 years
Enumerated 2006-10-11
Across 143 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (DC) | 1067 | CAREFIRST |
| 05 (MD) | 408905700 | |
| 05 (DC) | 036908800 |
Part of a multi-provider practice. 4085 other active providers share this practice address in NPPES.
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