Firstpoint Psychiatry, Pllc | |
201 Oak Dr S Ste 102 Lake Jackson TX 77566-5626 | |
(832) 377-1894 | |
(850) 220-1523 |
Full Name | Firstpoint Psychiatry, Pllc |
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Speciality | Psychiatry & Neurology |
Location | 201 Oak Dr S Ste 102, Lake Jackson, Texas |
Authorized Official Name and Position | Kenneth Osiezagha (OWNER) |
Authorized Official Contact | 4046634556 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Firstpoint Psychiatry, Pllc 201 Oak Dr S Ste 102 Lake Jackson TX 77566-5626 Ph: (832) 377-1894 | Firstpoint Psychiatry, Pllc 201 Oak Dr S Ste 102 Lake Jackson TX 77566-5626 Ph: (832) 377-1894 |
NPI Number | 1265089296 |
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Provider Enumeration Date | 08/23/2019 |
Last Update Date | 08/23/2019 |
Medicare PECOS PAC ID | 6709116718 |
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Medicare Enrollment ID | O20190917004266 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265089296 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Kenneth Oghale Osiezagha |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1205181724 PECOS PAC ID: 5991093957 Enrollment ID: I20190918002061 |
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