NPI age
18 years
Enumerated 2007-06-15
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 206278803 | |
| 01 | 3891389930 | MYUTMB 3891389930-COMMERCIAL NUMBER |
Solo or small practice. No other active providers share this practice address in NPPES.
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