NPI age
19 years
Enumerated 2006-07-15
Across 652 active psychologist providers in Texas.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 363832201 | |
| 01 (TX) | 0039DG | BCBS GROUP ID # |
| 01 (TX) | 152297 | VALUE OPTIONS GROUP # |
Multi-provider organization. 2 individual providers on file at this primary address.
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