NPI age
20 years
Enumerated 2006-01-10
Across 113 active pediatrics providers in Texas.
4 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (OK) | 100755250A | |
| 05 (TX) | 121888502 | |
| 01 (TX) | 00610K | BCBS |
Multi-provider organization. 4 individual providers on file at this primary address.
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