NPI age
20 years
Enumerated 2005-06-10
Across 1903 active psychiatry & neurology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | M3833 | MEDICAL LICENSE |
| 05 (TX) | PENDING | |
| 01 (TX) | 0018HQ | BCBS GROUP # |
| 05 (TX) | 1492258-01 | |
| 01 (TX) | 8V3717 | BCBS INDIVIDUAL # |
Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.
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