NPI age
19 years
Enumerated 2006-12-12
Across 3401 active psychologist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0083QY | BC/BS OF TEXAS |
| 05 (TX) | 149909703 | |
| 01 (TX) | 612701 | MEDICARE |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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