NPI age
15 years
Enumerated 2010-06-22
Across 383 active pediatrics providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 384760002 | |
| 05 (TX) | 384760001 | |
| 01 (TX) | 656486 | MEDICARE |
Part of a multi-provider practice. 314 other active providers share this practice address in NPPES.
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