NPI age
20 years
Enumerated 2006-05-17
Across 4391 active psychiatry & neurology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (MS) | 302I269052 | MEDICARE |
| 05 (AL) | 109062 | |
| 05 (MS) | 04428702 | |
| 05 (PA) | 1014016060001 |
Part of a multi-provider practice. 77 other active providers share this practice address in NPPES.
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