NPI age
12 years
Enumerated 2013-06-05
Across 4391 active psychiatry & neurology providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | S9267 | STATE LICENSE |
Part of a multi-provider practice. 311 other active providers share this practice address in NPPES.
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