| Beacon Behavioral Of Texas Pa | |
|
1901 Medi Park Dr Ste 2058 Amarillo TX 79106-2109 | |
| (806) 354-9540 | |
| Not Available |
| Full Name | Beacon Behavioral Of Texas Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1901 Medi Park Dr Ste 2058, Amarillo, Texas |
| Authorized Official Name and Position | Kimberly Glaveskas (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 2145507536 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Behavioral Of Texas Pa 22 Prestige Cir Ste 200 Allen TX 75002-3441 Ph: () - | Beacon Behavioral Of Texas Pa 1901 Medi Park Dr Ste 2058 Amarillo TX 79106-2109 Ph: (806) 354-9540 |
| NPI Number | 1851129654 |
|---|---|
| Provider Enumeration Date | 07/23/2024 |
| Last Update Date | 07/23/2024 |
| Certification Date | 07/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851129654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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