| Dr Associates Of North Texas | |
|
2301 Ohio Dr Suite 130 Plano TX 75093-3927 | |
| (972) 612-1305 | |
| (972) 867-3402 |
| Full Name | Dr Associates Of North Texas |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 2301 Ohio Dr, Plano, Texas |
| Authorized Official Name and Position | Gary B Rochelle (NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 9726121305 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Associates Of North Texas 2301 Ohio Dr Suite 130 Plano TX 75093-3927 Ph: (972) 612-1305 | Dr Associates Of North Texas 2301 Ohio Dr Suite 130 Plano TX 75093-3927 Ph: (972) 612-1305 |
| NPI Number | 1790050375 |
|---|---|
| Provider Enumeration Date | 03/15/2012 |
| Last Update Date | 03/06/2017 |
| Medicare PECOS PAC ID | 1759531916 |
|---|---|
| Medicare Enrollment ID | O20121024000264 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790050375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 15435 (Texas) | Primary |
| 103G00000X | Clinical Neuropsychologist | 23838 (Texas) | Secondary |
| Provider Name | Gary B Rochelle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932162898 PECOS PAC ID: 3173667680 Enrollment ID: I20100222000914 |
| Provider Name | Jay Daniel Duhon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417989724 PECOS PAC ID: 0143480442 Enrollment ID: I20120323000304 |
| Provider Name | Lauren Innes Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396010211 PECOS PAC ID: 6901052315 Enrollment ID: I20120816000820 |
| Provider Name | Lorene E Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295171486 PECOS PAC ID: 4981831187 Enrollment ID: I20131214000023 |
| Provider Name | Erin Sullivan-baca |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174103758 PECOS PAC ID: 2062816663 Enrollment ID: I20210804001069 |
| Provider Name | Joshua E Becker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295481075 PECOS PAC ID: 2365811619 Enrollment ID: I20221209000026 |
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