NPI age
20 years
Enumerated 2006-01-16
Across 7055 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 117585305 | |
| 01 (TX) | 1992784177 | NPI |
| 05 (TX) | 017532501 | |
| 01 (TX) | 890104 | BCBS |
| 05 (TX) | 117585302 |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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