NPI age
20 years
Enumerated 2005-07-08
Across 1903 active psychiatry & neurology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8J3522 | BLUE CROSS & BLUE SHIELD |
| 05 (TX) | 121268005 | |
| 01 (TX) | 5428564 | AETNA |
| 01 (TX) | J1397 | MEDICAL LICENSE |
Part of a multi-provider practice. 38 other active providers share this practice address in NPPES.
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