NPI age
7 years
Enumerated 2018-08-07
Across 7055 active pediatrics providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 | 1629035423 | NPI |
| 05 (TX) | 03-7773102 | |
| 01 | K1873 | TEXAS PHYSICIAN PERMIT |
Multi-site organization. 1 additional practice location on file.
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