| NPI | 1659586550 |
|---|---|
| Other Name | TEXAS TECH UHSC PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | STEVEN M. WAGNER Managing Director 915-545-6664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |