NPI age
10 years
Enumerated 2015-07-07
Across 4391 active psychiatry & neurology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (IN) | 01083149B | CSR |
| 01 (TX) | T2688 | MEDICAL LICENSE |
| 01 (IN) | 01083149A | LICENSE |
Part of a multi-provider practice. 23 other active providers share this practice address in NPPES.
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