NPI age
20 years
Enumerated 2006-04-10
Across 496 active clinical neuropsychologist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 030388921 | TRICARE PROVIDER NUMBER |
| 01 (TX) | 0090HV | BCBS PROVIDER NUMBER |
| 01 (TX) | 030388921 | TAX ID |
Part of a multi-provider practice. 28 other active providers share this practice address in NPPES.
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