| Ebn Physician Services, Pllc | |
|
700 Se Inner Loop Georgetown TX 78626-7700 | |
| (512) 819-9400 | |
| (512) 240-6970 |
| Full Name | Ebn Physician Services, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 700 Se Inner Loop, Georgetown, Texas |
| Authorized Official Name and Position | Emeke B Nwabuzor (DIRECTOR) |
| Authorized Official Contact | 5123518769 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ebn Physician Services, Pllc 402a W Palm Valley Blvd # 310 Round Rock TX 78664-4237 Ph: (512) 351-8769 | Ebn Physician Services, Pllc 700 Se Inner Loop Georgetown TX 78626-7700 Ph: (512) 819-9400 |
| NPI Number | 1255004495 |
|---|---|
| Provider Enumeration Date | 07/25/2021 |
| Last Update Date | 07/25/2021 |
| Certification Date | 07/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255004495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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