NPI age
20 years
Enumerated 2006-03-21
Across 4391 active psychiatry & neurology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | V0141096 | DPS |
| 01 (TX) | 8K9955 | BLUE SHIELD OF TEXAS |
| 05 (TX) | 176524001 |
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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