NPI age
19 years
Enumerated 2006-09-19
Across 64 active psychiatry & neurology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (FL) | K3055 | PTAN |
| 05 (FL) | 252738300 | |
| 01 (FL) | 42316 | BS OF FLORIDA |
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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