NPI age
19 years
Enumerated 2007-01-02
Across 4391 active psychiatry & neurology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 098265402 | |
| 01 (TX) | 75-248488075115 | CHAMPUS |
| 01 (TX) | F39P | BCBS |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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