NPI age
16 years
Enumerated 2010-05-06
Across 1903 active psychiatry & neurology providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (FL) | ME120030 | FLORIDA MEDICAL LICENSE |
| 01 (CA) | 159136 | CALIFORNIA MEDICAL LICENSE |
| 01 (AK) | 225856 | AK MEDICAL LICENSE |
| 01 (TX) | Q3757 | TEXAS MEDICAL LICENSE |
| 01 (AZ) | 57634 | ARIZONA MEDICAL LICENSE |
| 01 (OK) | 32183 | OKLAHOMA MEDICAL LICENSE |
| 01 (UT) | 9730457-1205 | UTAH MEDICAL LICENSE |
| 05 (MO) | 200092731 | |
| 01 (SC) | 81834 | SOUTH CAROLINA MEDICAL LICENSE |
| 01 (MI) | 4301108260 | MICHIGAN MEDICAL LICENSE |
| 01 (GA) | 84266 | GEORGIA MEDICAL LICENSE |
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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