NPI age
19 years
Enumerated 2007-01-18
Across 1903 active psychiatry & neurology providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1316099153 | |
| 05 (MN) | 110523000 | |
| 05 (TX) | 203416702 | |
| 01 (TX) | 8TL498 | BCBS TX |
| 01 (TX) | 8W6745 | BCBS |
| 01 (TX) | 752616977052 | TRICARE |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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