NPI age
20 years
Enumerated 2006-05-11
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (CO) | 39255522 | |
| 05 (GA) | 534002275A |
Part of a multi-provider practice. 21 other active providers share this practice address in NPPES.
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