NPI age
20 years
Enumerated 2006-05-13
Across 143 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 168602402 | |
| 01 (TX) | 8U3552 | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 168602401 |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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