NPI age
19 years
Enumerated 2006-09-22
Across 4391 active psychiatry & neurology providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 742988049B | |
| 01 (GA) | 52186848004 | BCBS |
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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