NPI age
21 years
Enumerated 2005-05-23
Across 4391 active psychiatry & neurology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (OK) | 200219360 A | |
| 01 (TX) | P00115086 | RRMEDICARE ID |
| 01 (TX) | 853160 | BCBS ID WITH GROUP |
| 05 (NM) | V3692 | |
| 05 (TX) | 128199006 | |
| 05 (TX) | 128199003 | |
| 01 (TX) | A018 | CHAMPUS ID WITH GROUP |
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
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