NPI age
19 years
Enumerated 2007-01-08
Across 496 active clinical neuropsychologist providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 310963902 | |
| 01 | KP010294 | COMMERCIAL-COMMERCIAL NUMBER |
| 01 | KP010294 | CHAMPUS-CHAMPUS |
| 05 (MI) | PHD888810 | |
| 01 | 7509104450 | BLUE CROSS-BLUE CROSS |
Part of a multi-provider practice. 22 other active providers share this practice address in NPPES.
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