NPI age
19 years
Enumerated 2006-07-31
Across 4391 active psychiatry & neurology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8CH756 | BCBS |
| 05 (TX) | 211496901 | |
| 05 (AR) | 168433001 | |
| 05 (MD) | 353041800 |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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