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MEDI-PSYCH E & M LLC NPI 1467694935


NPI Information

NPI: 1467694935
Provider Name: MEDI-PSYCH E & M, LLC

Doing Business As: MEDIPSYCH COUNSELING ASSOCIATES

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
3115 FORT WORTH HWY
# 200
HUDSON OAKS, TX
ZIP 76087
Phone: (817) 694-4978
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MEDI-PSYCH E & M, LLC is a psychiatric/mental health nurse practitioner in Hudson Oaks, TX. MEDI-PSYCH E & M, LLC NPI is 1467694935. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Medipsych Counseling Associates.

The provider's business location address is:

3115 FORT WORTH HWY
# 200
HUDSON OAKS, TX
ZIP 76087-720
Phone: (817) 694-4978
Fax: (817) 448-9088

The provider's authorized official is Geraldine M Disnard .
The authorized official title is Owner/authorized Agent and has the following contact phone number (817) 694-4978.

The enumeration date for this NPI number is 3/30/2009 and was last updated on 11/4/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthARNP9274840FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18A9182MEDICARE PINTEXAS
2P93581MEDICARE UPINTEXAS
31366443822OTHERTEXASNPI INDIVIDUAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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