NPI age
18 years
Enumerated 2008-03-06
Across 4391 active psychiatry & neurology providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (OK) | 200332520 A | |
| 05 (TX) | 206280404 | |
| 05 (AR) | 229922001 | |
| 05 (NM) | 67321232 |
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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