NPI age
19 years
Enumerated 2006-07-17
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (OK) | 100155410A | |
| 05 (TX) | 129563607 | |
| 05 (TX) | 129563606 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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