NPI age
19 years
Enumerated 2006-10-13
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 104596507 | |
| 05 (TX) | 104596506 | |
| 05 (TX) | 104596504 | |
| 05 (TX) | 104596505 | |
| 05 (OK) | 200013510A |
Solo or small practice. No other active providers share this practice address in NPPES.
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