NPI age
19 years
Enumerated 2006-07-18
Across 3401 active psychologist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 103105601 | |
| 01 (TX) | 680011483 | RAIL ROAD |
| 01 (TX) | 86382A | BLUE CROSS BLUE SHEILD |
| 05 (TX) | 103105602 |
Solo or small practice. No other active providers share this practice address in NPPES.
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