NPI age
17 years
Enumerated 2008-12-12
Across 1903 active psychiatry & neurology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 325672901 | |
| 01 (TX) | P7216 | MEDICAL LICENSE |
| 01 (TX) | 313233YLLZ | MEDICARE PTAN |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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