NPI age
20 years
Enumerated 2006-05-27
Across 321 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 165567203 | CIDC |
| 05 (TX) | 165567202 |
Solo or small practice. No other active providers share this practice address in NPPES.
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