NPI age
20 years
Enumerated 2006-03-09
Across 4391 active psychiatry & neurology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 00SX11 | BCBS |
| 01 (TX) | 115950107 | MEDICAID CSHCN |
| 05 (TX) | 115950103 | |
| 05 (TX) | 115950106 |
Part of a multi-provider practice. 40 other active providers share this practice address in NPPES.
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