NPI age
13 years
Enumerated 2013-05-01
Across 7055 active pediatrics providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 360292202 | |
| 01 (TX) | 360292203 | CSHCN |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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