NPI age
19 years
Enumerated 2007-05-09
Across 7055 active pediatrics providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (NC) | 5909986 | |
| 05 (TX) | 373523502 |
Solo or small practice. No other active providers share this practice address in NPPES.
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