NPI age
19 years
Enumerated 2006-11-02
Across 4391 active psychiatry & neurology providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | TXB144749 | MEDICARE |
| 05 (TX) | 305165802 | |
| 01 (TX) | TXB144748 | MEDICARE |
| 05 (TX) | 305165801 | |
| 05 (TX) | 096990902 |
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
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