NPI age
18 years
Enumerated 2007-06-12
Across 4391 active psychiatry & neurology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | M8501 | TEXAS MEDICAL BOARD LICENSE |
| 01 | BP1-0022489 | INSTITUTIONAL PERMIT |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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