NPI age
17 years
Enumerated 2009-02-23
Across 4391 active psychiatry & neurology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 611272 | MEDICARE PTAN INDIVIDUAL |
| 01 (TX) | 8U1296 | BCBS |
| 01 (TX) | 10012910 | AMERIGROUP |
| 05 (TX) | 167802104 |
Multi-site organization. 1 additional practice location on file.
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