NPI age
20 years
Enumerated 2006-05-23
Across 1903 active psychiatry & neurology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (SC) | 009653 | |
| 01 (SC) | 270138713 | FEDERAL TAX ID |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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