NPI age
19 years
Enumerated 2006-07-12
Across 201 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (LA) | 1143138 | |
| 01 (TX) | 181237202 | CSHCN |
| 05 (TX) | 181237201 | |
| 01 (TX) | 8U4868 | BCBS |
Part of a multi-provider practice. 415 other active providers share this practice address in NPPES.
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