NPI age
14 years
Enumerated 2011-07-25
Across 4391 active psychiatry & neurology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | BP10039545 | TEXAS MEDICAL BOARD PERMIT |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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