NPI age
19 years
Enumerated 2006-07-20
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (LA) | 0600005 | PRESCRIPTIVE AUTHORITY |
| 01 | 91200 | PEDIATRIC NURSING CERT BD |
| 05 (TX) | 311459702 |
Part of a multi-provider practice. 27 other active providers share this practice address in NPPES.
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