NPI age
16 years
Enumerated 2009-06-15
Across 681 active psychiatry & neurology providers in Georgia.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | DB6392 | RR MDCR GRP PTAN |
| 01 (TX) | 0035TD | BCBSTX GRP PROV # |
| 01 (TX) | 00106W | MDCR GRP PTAN HARRIS CO |
| 01 (TX) | 153449704 | MDCD GRP TPI HARRIS CO |
Part of a multi-provider practice. 478 other active providers share this practice address in NPPES.
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