NPI age
21 years
Enumerated 2005-05-26
Across 1903 active psychiatry & neurology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 127876406 | |
| 01 (TX) | C18831 | CHHCN |
| 01 | PIPVMM3QA2 | PIID |
| 01 (TX) | 8AA300 | BCBSTX |
Part of a multi-provider practice. 415 other active providers share this practice address in NPPES.
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