NPI age
19 years
Enumerated 2006-06-23
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 166320502 WITH TMG | |
| 01 (TX) | 1861428948 | BCBS OF TX |
| 05 (TX) | 166320501 |
Solo or small practice. No other active providers share this practice address in NPPES.
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