NPI age
19 years
Enumerated 2007-03-20
Across 4391 active psychiatry & neurology providers in Texas.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 220087501 | |
| 01 (TX) | 0072MW | BLUE CROSS BLUE SHIELD |
| 05 (OK) | 200105540A |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 2 individual providers on file at this primary address.
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