NPI age
20 years
Enumerated 2005-06-09
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 121232603 | |
| 01 (TX) | 752551507 | TAX ID |
| 05 (TX) | 121232601 |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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