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1111 Industrial Blvd Bldg 2 Abilene TX 79602-7929 | |
| (325) 795-9140 | |
| (325) 795-9150 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1111 Industrial Blvd, Abilene, Texas |
| Authorized Official Name and Position | Jerome R Kearney (PRESIDENT) |
| Authorized Official Contact | 9406427460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 7104 Abilene TX 79608-7104 Ph: (325) 795-9140 | 1111 Industrial Blvd Bldg 2 Abilene TX 79602-7929 Ph: (325) 795-9140 |
| NPI Number | 1801889613 |
|---|---|
| Provider Enumeration Date | 08/26/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801889613 | NPI | - | NPPES |
| 0079JV | Other | TX | BCBS TX GROUP PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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