NPI age
19 years
Enumerated 2006-12-07
Across 7055 active pediatrics providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (NE) | 1201570 | |
| 05 (IA) | 0723247 | |
| 05 (NE) | 1201569 | |
| 05 (IA) | 1723247 | |
| 01 (NE) | 250907 | MIDLANDS CHOICE |
| 05 (NE) | 1201571 | |
| 01 (NE) | 30593 | BCBS OF NEBRASKA |
| 05 (NE) | 1201566 | |
| 05 (IA) | 2723247 | |
| 05 (NE) | 100253323-00 | |
| 05 (MN) | ENROLLED | |
| 05 (NE) | 1201564 | |
| 05 (NE) | 1201565 | |
| 05 (NE) | 1201567 | |
| 05 (NE) | 1201568 |
Part of a multi-provider practice. 38 other active providers share this practice address in NPPES.
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