NPI age
17 years
Enumerated 2008-07-28
Across 1903 active psychiatry & neurology providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1Z7293 | MEDICARE PTAN |
| 01 (TX) | 8RC062 | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 1780849836 |
Multi-provider organization. 1 individual provider on file at this primary address.
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