NPI age
15 years
Enumerated 2011-04-18
Across 1903 active psychiatry & neurology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 00106W | MDCR GRP PTAN |
| 01 (TX) | DB6392 | GRP RR MDCR PTAN |
| 01 (TX) | 153449704 | MDCD GRP TPI |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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