NPI age
20 years
Enumerated 2006-03-01
Across 1903 active psychiatry & neurology providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 158290002 | |
| 05 (WI) | 100221656 | |
| 01 (TX) | K9830 | TEXAS MEDICAL LICENSE |
| 01 (TX) | P00477936 | RR MEDICARE |
Part of a multi-provider practice. 29 other active providers share this practice address in NPPES.
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