| Central Texas Mental Health | |
|
1717 N Ih 35 Ste 200 Round Rock TX 78664-2901 | |
| (512) 964-6992 | |
| (512) 388-0373 |
| Full Name | Central Texas Mental Health |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1717 N Ih 35 Ste 200, Round Rock, Texas |
| Authorized Official Name and Position | Michael Andrew Musgrove (PRESIDENT) |
| Authorized Official Contact | 5129646992 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Texas Mental Health 1717 N Ih 35 Ste 200 Round Rock TX 78664-2901 Ph: (512) 964-6992 | Central Texas Mental Health 1717 N Ih 35 Ste 200 Round Rock TX 78664-2901 Ph: (512) 964-6992 |
| NPI Number | 1538338306 |
|---|---|
| Provider Enumeration Date | 02/26/2008 |
| Last Update Date | 05/20/2020 |
| Certification Date | 05/20/2020 |
| Medicare PECOS PAC ID | 8224108840 |
|---|---|
| Medicare Enrollment ID | O20080609000132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538338306 | NPI | - | NPPES |
| 1940058-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | M3334 (Texas) | Primary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| Provider Name | Michael A Musgrove |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033166368 PECOS PAC ID: 4486651064 Enrollment ID: I20061024000144 |
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