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NPI Code Detail

MEDICARE: THROSTUR BJORGVINSSON PH.D.

MEDICARE: THROSTUR BJORGVINSSON PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TB0200XCognitive & Behavioral Psychologist

General Provider Information

NPI Number : 1134355449
Entity Type Code : Individual
Provider Name (Legal Business Name) : THROSTUR BJORGVINSSON PH.D.
Provider Business Mailing Address
First Line : 520 SUL ROSS ST
Second Line :
City : HOUSTON
State : TX
Zip : 77006
Country : US
Telephone Number : 832-298-7075
Fax Number : 713-521-0748
Provider Business Practice Location Address
First Line : 520 SUL ROSS ST
Second Line :
City : HOUSTON
State : TX
Zip : 77006-5031
Country : US
Telephone Number : 832-298-7075
Fax Number : 713-521-0748
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2009
Last Update Date : 06/02/2009

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