NPI age
20 years
Enumerated 2006-04-18
Across 1903 active psychiatry & neurology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 4308356 | AETNA |
| 01 (TX) | 84371X | BLUECROSS BLUESHIELD |
| 05 (TX) | 123102903 | |
| 01 | MDF3330 | WORKERS COMP |
Part of a multi-provider practice. 118 other active providers share this practice address in NPPES.
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