NPI age
19 years
Enumerated 2006-07-07
Across 130 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 138314313 | |
| 05 (OK) | 100218140 A | |
| 05 (NM) | E1575 | |
| 05 (TX) | 138314309 |
Part of a multi-provider practice. 191 other active providers share this practice address in NPPES.
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