NPI age
19 years
Enumerated 2006-08-10
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 120597303 | CIDE |
| 05 (TX) | 120597302 | |
| 01 (TX) | 89320X | BCBS |
| 01 (TX) | 488963ZUNL | MEDICARE PART B |
Solo or small practice. No other active providers share this practice address in NPPES.
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