NPI age
19 years
Enumerated 2007-05-25
Across 4391 active psychiatry & neurology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | TXB160581 | MEDICARE |
| 05 (TX) | 306484201 | |
| 01 | P01103934 | RAILROAD MEDICARE |
| 01 (TX) | 306484202 | MEDICAID CSHCN |
| 01 (TX) | 8DK337 | BLUE CROSS BLUE SHIELD |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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