| In Touch Psychiatry Consultants & Family Medicine, Pllc | |
|
1024 E Broad St Ste 207 Mansfield TX 76063-7702 | |
| (682) 503-1423 | |
| Not Available |
| Full Name | In Touch Psychiatry Consultants & Family Medicine, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1024 E Broad St Ste 207, Mansfield, Texas |
| Authorized Official Name and Position | Timothy Kimuyu (PMHNP-BC/FNP-BC) |
| Authorized Official Contact | 6825183333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| In Touch Psychiatry Consultants & Family Medicine, Pllc 1024 E Broad St Ste 207 Mansfield TX 76063-7702 Ph: (682) 518-3333 | In Touch Psychiatry Consultants & Family Medicine, Pllc 1024 E Broad St Ste 207 Mansfield TX 76063-7702 Ph: (682) 503-1423 |
| NPI Number | 1275005456 |
|---|---|
| Provider Enumeration Date | 12/27/2018 |
| Last Update Date | 03/24/2019 |
| Medicare PECOS PAC ID | 1557603396 |
|---|---|
| Medicare Enrollment ID | O20190429000314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275005456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Timothy Kimuyu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790203016 PECOS PAC ID: 9133479694 Enrollment ID: I20180904000848 |
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