NPI age
19 years
Enumerated 2006-11-30
Across 4391 active psychiatry & neurology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 0092NG | BCBS |
| 05 (TX) | 0455032-04 |
Part of a multi-provider practice. 51 other active providers share this practice address in NPPES.
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