Rio Grande State Center – Clinical Neuropsychologist, NPI 1356414692
Clinical Neuropsychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Rio Grande State Center
Austin State Hospital, 4110, Guadalupe Street, Central Austin, Austin, Travis County, Texas, 78751, United States
HOSPITAL REVENUE MGMT-MC2023
AUSTIN, TX 787514223
Phone: (512) 206-5284
Fax: (512) 206-5302
Type: Mailing
Rio Grande State Center, 1401, South Rangerville Road, Harlingen, Texas, 78552, United States
HARLINGEN, TX 785527638
Phone: (956) 364-8000
Fax: (956) 364-8245
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-09-08
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78751)
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