NPI age
19 years
Enumerated 2006-07-25
Across 4391 active psychiatry & neurology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 551369 | VALUE OPTIONS # |
| 01 (TX) | 8DJ721 | BCBSTX |
| 01 (TX) | 175829401 | TMHP |
| 01 (TX) | 202949040 | TRICARE PROVIDER ID |
| 01 (TX) | L5386 | TEXAS STATE LICENSE # |
| 01 (TX) | 8S7470 | BCBS PROVIDER # |
| 05 (TX) | 164124306 |
Part of a multi-provider practice. 27 other active providers share this practice address in NPPES.
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