NPI age
14 years
Enumerated 2012-04-05
Across 32 active psychologist providers in Texas.
5 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 318504 | MEDICARE PTAN |
| 01 (TX) | 363043 | MEDICARE PTAN |
Multi-provider organization. 5 individual providers on file at this primary address.
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