NPI age
19 years
Enumerated 2007-01-09
Across 592 active psychiatry & neurology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 | 00T08M | BLUE CROSS BLUE SHIELD |
| 05 (OK) | 100164380A | |
| 05 (TX) | 128802905 |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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