NPI age
20 years
Enumerated 2006-05-09
Across 4391 active psychiatry & neurology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 113331602 | |
| 01 (TX) | R0128856 | TX DPS NUMBER |
| 01 (TX) | 0084LN | BLUE CROSS BULE SHIELD |
Solo or small practice. No other active providers share this practice address in NPPES.
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