NPI age
10 years
Enumerated 2015-12-21
Across 2078 active community/behavioral health providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0802323165 | FILE NUMBER |
| 01 (TX) | 32058706535 | TAXPAYER NUMBER |
Single-site organization. Only one practice location on file.
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