| Beacon Behavioral Of Texas Pa | |
|
1604 Hospital Pkwy Ste 507&508 Bedford TX 76022-6986 | |
| (817) 354-7268 | |
| Not Available |
| Full Name | Beacon Behavioral Of Texas Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1604 Hospital Pkwy Ste 507&508, Bedford, 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 1604 Hospital Pkwy Ste 507&508 Bedford TX 76022-6986 Ph: (817) 354-7268 |
| NPI Number | 1811725708 |
|---|---|
| Provider Enumeration Date | 07/23/2024 |
| Last Update Date | 07/23/2024 |
| Certification Date | 07/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811725708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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