NPI age
19 years
Enumerated 2007-03-04
Across 2632 active psychologist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 130128 | MHN |
| 01 (TX) | 013083 | VALUE OPTIONS |
| 01 (TX) | 00H56R | BLUE CROSS BLUE SHIELD |
| 01 (TX) | 10771085 | CAQH |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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