NPI age
20 years
Enumerated 2005-12-07
Across 3401 active psychologist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 83212P | PARKLAND MEDICARE NUMBER |
| 01 (TX) | 00G80Y | BLUECROSS BLUESHIELD |
| 01 (TX) | 4343549 | AETNA |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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