NPI age
15 years
Enumerated 2010-08-31
Across 2632 active psychologist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (NE) | 470798717-26,27,00 | |
| 01 | 96097 | BCBS |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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