NPI age
20 years
Enumerated 2005-11-18
Across 1903 active psychiatry & neurology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 096226801 | |
| 01 (TX) | K1964 | MEDICAL LICENSE NUMBER |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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