NPI age
19 years
Enumerated 2006-11-01
Across 3401 active psychologist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 123555806 | |
| 01 (TX) | 86459A | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 123555801 | |
| 05 (TX) | 123555803 | |
| 01 (TX) | 680013245 | RAIL ROAD |
| 01 (TX) | 82931P | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 123555805 |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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