| Beacon Behavioral Of Texas Pa | |
|
11901 W Parmer Ln Ste 310 Cedar Park TX 78613-7654 | |
| (512) 528-9498 | |
| (512) 843-7164 |
| Full Name | Beacon Behavioral Of Texas Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 11901 W Parmer Ln Ste 310, Cedar Park, Texas |
| Authorized Official Name and Position | Kimberly Glaveskas (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 4439623945 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Behavioral Of Texas Pa 11901 W Parmer Ln Ste 310 Cedar Park TX 78613-7654 Ph: (512) 528-9498 | Beacon Behavioral Of Texas Pa 11901 W Parmer Ln Ste 310 Cedar Park TX 78613-7654 Ph: (512) 528-9498 |
| NPI Number | 1831934009 |
|---|---|
| Provider Enumeration Date | 06/28/2024 |
| Last Update Date | 06/28/2024 |
| Certification Date | 06/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831934009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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