NPI age
19 years
Enumerated 2006-08-18
Across 223 active pediatrics providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (MS) | 07472751 | |
| 05 (LA) | 1042579 |
Part of a multi-provider practice. 246 other active providers share this practice address in NPPES.
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