NPI age
20 years
Enumerated 2006-03-24
Across 4391 active psychiatry & neurology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 139977623 | |
| 01 (TX) | 10038683 | DPS |
| 01 (TX) | 8K9952 | BLUE SHIELD OF TEXAS |
Solo or small practice. No other active providers share this practice address in NPPES.
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