Empower Mind Pllc | |
400 Stonebrook Pkwy Unit 205 Frisco TX 75036-1181 | |
(469) 977-1100 | |
Not Available |
Full Name | Empower Mind Pllc |
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Speciality | Psychiatry & Neurology |
Location | 400 Stonebrook Pkwy Unit 205, Frisco, Texas |
Authorized Official Name and Position | Reshmi Dutta (OWNER) |
Authorized Official Contact | 9729778388 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Empower Mind Pllc 400 Stonebrook Pkwy Unit 205 Frisco TX 75036-1181 Ph: (469) 977-1100 | Empower Mind Pllc 400 Stonebrook Pkwy Unit 205 Frisco TX 75036-1181 Ph: (469) 977-1100 |
NPI Number | 1144973355 |
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Provider Enumeration Date | 01/28/2022 |
Last Update Date | 02/13/2024 |
Certification Date | 02/13/2024 |
Medicare PECOS PAC ID | 8426436692 |
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Medicare Enrollment ID | O20220531000231 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144973355 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
273R00000X | Psychiatric Unit | (* (Not Available)) | Secondary |
Provider Name | Reshmi Dutta |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144607565 PECOS PAC ID: 2062825557 Enrollment ID: I20201229002920 |
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