Craig W. Spillman, Ph.d., P.c. | |
1300 W Walnut Hill Ln Ste 200 Irving TX 75038-3074 | |
(972) 550-8369 | |
(972) 550-8369 |
Full Name | Craig W. Spillman, Ph.d., P.c. |
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Speciality | Counselor |
Location | 1300 W Walnut Hill Ln Ste 200, Irving, Texas |
Authorized Official Name and Position | Craig Spillman (PRESIDENT) |
Authorized Official Contact | 9725508369 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Craig W. Spillman, Ph.d., P.c. 1300 W Walnut Hill Ln Ste 200 Irving TX 75038-3074 Ph: (972) 550-8369 | Craig W. Spillman, Ph.d., P.c. 1300 W Walnut Hill Ln Ste 200 Irving TX 75038-3074 Ph: (972) 550-8369 |
NPI Number | 1952174526 |
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Provider Enumeration Date | 11/06/2023 |
Last Update Date | 11/06/2023 |
Certification Date | 11/04/2023 |
Medicare PECOS PAC ID | 6901256098 |
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Medicare Enrollment ID | O20240102003348 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952174526 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Craig Warren Spillman |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1982680344 PECOS PAC ID: 7719337807 Enrollment ID: I20240102003449 |
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