NPI age
19 years
Enumerated 2006-06-18
Across 3401 active psychologist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8D1104 | BCBS |
| 01 (TX) | P00197542 | RAILROAD |
Part of a multi-provider practice. 27 other active providers share this practice address in NPPES.
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