NPI age
20 years
Enumerated 2006-05-11
Across 652 active psychologist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 164682004 | |
| 05 (TX) | 164682001 | |
| 05 (TX) | 164682005 | |
| 01 (TX) | 0052PK | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 164682002 | |
| 05 (TX) | 164682003 |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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