NPI age
19 years
Enumerated 2006-08-05
Across 3401 active psychologist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 831141P | |
| 05 (TX) | 041052-04 | |
| 01 (TX) | H08HW01501 | BCBS |
Part of a multi-provider practice. 60 other active providers share this practice address in NPPES.
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