NPI age
15 years
Enumerated 2010-07-01
Across 26 active psychiatry & neurology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8CQ610 | BCBSTX |
| 05 (TX) | 217638001 |
Part of a multi-provider practice. 415 other active providers share this practice address in NPPES.
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