NPI age
19 years
Enumerated 2007-04-25
Across 383 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 201159502 | CSHCN |
| 01 (CA) | A86922 | MEDICAL LICENSE |
| 01 (TX) | N6113 | MEDICAL LICENSE |
| 05 (TX) | 201159501 |
Part of a multi-provider practice. 1981 other active providers share this practice address in NPPES.
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