NPI age
19 years
Enumerated 2006-06-12
Across 3401 active psychologist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 041075502 | |
| 01 (TX) | 83149P | BCBS |
| 01 (TX) | 83153P | BCBS |
| 01 (TX) | 680014099 | RAILROAD |
| 05 (TX) | 041075503 |
Part of a multi-provider practice. 27 other active providers share this practice address in NPPES.
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