NPI age
19 years
Enumerated 2006-07-11
Across 321 active pediatrics providers in Texas.
4 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1952335101 | |
| 05 (TX) | J3720 | |
| 05 (LA) | 1018317 |
Part of a multi-provider practice. 69 other active providers share this practice address in NPPES.
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