| Dennis L. Coburn, Ph.d. & Associates | |
|
4810 W Panther Creek Dr Suite 100 The Woodlands TX 77381-5008 | |
| (281) 367-5664 | |
| (281) 292-4018 |
| Full Name | Dennis L. Coburn, Ph.d. & Associates |
|---|---|
| Speciality | Psychologist |
| Location | 4810 W Panther Creek Dr, The Woodlands, Texas |
| Authorized Official Name and Position | Dennis L Coburn (OWNER (PSYCHOLOGIST)) |
| Authorized Official Contact | 2813675664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis L. Coburn, Ph.d. & Associates Po Box 7338 The Woodlands TX 77387-7338 Ph: (281) 367-5664 | Dennis L. Coburn, Ph.d. & Associates 4810 W Panther Creek Dr Suite 100 The Woodlands TX 77381-5008 Ph: (281) 367-5664 |
| NPI Number | 1144340290 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 05/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144340290 | NPI | - | NPPES |
| 0327546-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 21505 (Texas) | Primary |
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