NPI age
18 years
Enumerated 2007-06-18
Across 321 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (RI) | MD12410 | LICENSE |
| 05 (TX) | 339956001 | |
| 05 (RI) | 1821293 |
Part of a multi-provider practice. 3675 other active providers share this practice address in NPPES.
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