NPI age
19 years
Enumerated 2006-07-05
Across 3401 active psychologist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (UT) | 1008109 | AMERIGROUP |
| 01 (TX) | 0077TH | BCBS PROVIDER ID |
| 05 (TX) | 102647805 | |
| 01 (TX) | 8B8909 | BCBS |
| 05 (TX) | 102647804 |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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