NPI age
20 years
Enumerated 2006-03-27
Across 4391 active psychiatry & neurology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 0454589-01 | |
| 01 (TX) | 87197N | BLUE SHIELD |
| 01 (TX) | 260045292 | RR/MEDICARE |
Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.
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