NPI age
19 years
Enumerated 2006-07-26
Across 1903 active psychiatry & neurology providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 120213702 | |
| 01 (TX) | 8JX705 | BCBS |
| 05 (TX) | 120213706 | |
| 01 (TX) | 693542 | MEDICARE |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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