NPI age
19 years
Enumerated 2007-05-07
Across 1903 active psychiatry & neurology providers in Texas.
3 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 | 10582985 | CAQH ID |
| 01 (TX) | K9573 | TEXAS LICENSE |
Multi-provider organization. 3 individual providers on file at this primary address.
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