NPI age
20 years
Enumerated 2006-03-21
Across 592 active psychiatry & neurology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 123484102 | |
| 01 (TX) | 10078938 | DPS |
| 05 (TX) | 138708613 | |
| 01 (TX) | 816090 | BLUE SHIELD OF TEXAS |
Part of a multi-provider practice. 136 other active providers share this practice address in NPPES.
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