NPI age
17 years
Enumerated 2009-04-09
Across 321 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8DL811 | BCBS |
| 01 (TX) | 306812404 | MEDICAID-CSHCN |
| 05 (TX) | 306812401 |
Part of a multi-provider practice. 3675 other active providers share this practice address in NPPES.
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