NPI age
20 years
Enumerated 2005-12-29
Across 1903 active psychiatry & neurology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 130015602 | RAIL ROAD MEDICARE |
| 01 (TX) | 153449706 | MDCD GRP TPI |
| 01 (TX) | 0035TD | BCBSTX GRP PROV REC |
| 01 (TX) | DB6392 | RR MDCR GRP PTAN |
| 01 (TX) | 00659N | GRP MDCR PTAN |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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