NPI age
19 years
Enumerated 2006-11-13
Across 4391 active psychiatry & neurology providers in Texas.
3 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | M0069970 | DPS |
| 01 (TX) | 8E0646 | BCBS CHAMPUS |
Multi-provider organization. 3 individual providers on file at this primary address.
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