NPI age
19 years
Enumerated 2006-06-30
Across 1903 active psychiatry & neurology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | TXB141949 | MEDICARE FOR TARRANT COUNTY |
| 05 (TX) | 201471401 | |
| 01 (TX) | 201471402 | MEDICAID TPI NUMBER |
| 01 (TX) | P00784505 | RAILROAD MEDICARE |
Solo or small practice. No other active providers share this practice address in NPPES.
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