NPI age
17 years
Enumerated 2008-09-05
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 4321507-01 | |
| 05 (KS) | 201069150 |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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