NPI age
20 years
Enumerated 2006-05-15
Across 223 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 002000120J | HUMANA |
| 05 (WI) | 30751700 |
Part of a multi-provider practice. 4085 other active providers share this practice address in NPPES.
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