NPI age
20 years
Enumerated 2006-05-24
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (MI) | 2880514005 | CIGNA |
| 05 (MI) | 104447704 | |
| 01 (MI) | 12-20019 | PHP OF SOUTH MICHIGAN |
| 01 (MI) | 111757 | PREFERRED CHOICES |
| 01 (MI) | 35-0-38-0137-1 | BLUE CROSS BLUE SHIELD |
| 01 (MI) | 4333430 | AETNA |
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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