| Cyfair Psychological Associates, Pllc | |
|
11811 Fm 1960 Rd W Suite 130 Houston TX 77065-3827 | |
| (281) 943-9250 | |
| (281) 894-4500 |
| Full Name | Cyfair Psychological Associates, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 11811 Fm 1960 Rd W, Houston, Texas |
| Authorized Official Name and Position | Teresa Leah Tarver (DR.) |
| Authorized Official Contact | 2819439250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cyfair Psychological Associates, Pllc 15201 Mason Rd Suite 1000, Pmb 133 Cypress TX 77433-5954 Ph: (281) 943-9250 | Cyfair Psychological Associates, Pllc 11811 Fm 1960 Rd W Suite 130 Houston TX 77065-3827 Ph: (281) 943-9250 |
| NPI Number | 1053697755 |
|---|---|
| Provider Enumeration Date | 10/25/2011 |
| Last Update Date | 11/03/2011 |
| Medicare PECOS PAC ID | 4284808130 |
|---|---|
| Medicare Enrollment ID | O20111111000020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053697755 | NPI | - | NPPES |
| 1174768295 | Other | TX | NPI NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 33770 (Texas) | Primary |
| Provider Name | Teresa L Tarver |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174768295 PECOS PAC ID: 3173712668 Enrollment ID: I20110114000294 |
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