NPI age
19 years
Enumerated 2006-10-17
Across 4391 active psychiatry & neurology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (IA) | 0295253 | |
| 01 (IA) | P00066324 | RR MEDICARE |
| 01 (IA) | 07466 | WELLMARK BC/BS |
Part of a multi-provider practice. 4085 other active providers share this practice address in NPPES.
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