NPI age
20 years
Enumerated 2005-08-02
Across 4391 active psychiatry & neurology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 148935301 | |
| 01 (TX) | 260048177 | RAILROAD MEDICARE |
| 01 (TX) | 742843213 | TAX ID |
| 01 (TX) | 8465N0 | BLUE CROSS BLUE SHIELD |
Part of a multi-provider practice. 28 other active providers share this practice address in NPPES.
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