NPI age
20 years
Enumerated 2006-05-02
Across 4391 active psychiatry & neurology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 105388604 | |
| 01 (TX) | 8U9620 | BCBS |
| 01 | P00615270 | MEDICARE RR |
Part of a multi-provider practice. 30 other active providers share this practice address in NPPES.
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