NPI age
19 years
Enumerated 2007-01-05
Across 1903 active psychiatry & neurology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (IN) | 01063076A | PHYSICIAN LICENSE |
| 01 (LA) | 300857 | LOUISIANA PHYSICIAN LICENSE |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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