NPI age
18 years
Enumerated 2007-06-05
Across 201 active pediatrics providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (CO) | 26077531 | |
| 05 (TX) | 1992907315 | |
| 05 (WY) | 1992907315 | |
| 05 (SD) | 1992907315 | |
| 05 (NE) | 10025609200 |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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