NPI age
19 years
Enumerated 2007-01-10
Across 1903 active psychiatry & neurology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 083092901 | |
| 05 (TX) | 128844102 | |
| 01 (TX) | 130010890 | RAILROAD MEDICARE |
| 01 (TX) | 89M400 | BLUE CROSS BLUE SHIELD |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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