| Eden Springs Behavioral Services, Pa | |
|
3542 Riomar Ct Abilene TX 79606-5651 | |
| (917) 254-7822 | |
| Not Available |
| Full Name | Eden Springs Behavioral Services, Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3542 Riomar Ct, Abilene, Texas |
| Authorized Official Name and Position | Olusegun Bello (CEO) |
| Authorized Official Contact | 9172547822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eden Springs Behavioral Services, Pa 3542 Riomar Ct Abilene TX 79606-5651 Ph: () - | Eden Springs Behavioral Services, Pa 3542 Riomar Ct Abilene TX 79606-5651 Ph: (917) 254-7822 |
| NPI Number | 1962936724 |
|---|---|
| Provider Enumeration Date | 04/18/2017 |
| Last Update Date | 04/18/2017 |
| Medicare PECOS PAC ID | 5496023665 |
|---|---|
| Medicare Enrollment ID | O20170612000818 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962936724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | P7391 (Texas) | Primary |
| Provider Name | Olusegun A Bello |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043395486 PECOS PAC ID: 9739471301 Enrollment ID: I20160630001537 |
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