Indigo Psychiatry And Education Group, Llc | |
17250 Dallas Pkwy Dallas TX 75248-1136 | |
(972) 322-2316 | |
Not Available |
Full Name | Indigo Psychiatry And Education Group, Llc |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 17250 Dallas Pkwy, Dallas, Texas |
Authorized Official Name and Position | Rebecca Ellen Puchkors (MEMBER) |
Authorized Official Contact | 9723222316 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Indigo Psychiatry And Education Group, Llc 17250 Dallas Pkwy Dallas TX 75248-1136 Ph: (972) 322-2316 | Indigo Psychiatry And Education Group, Llc 17250 Dallas Pkwy Dallas TX 75248-1136 Ph: (972) 322-2316 |
NPI Number | 1730995135 |
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Provider Enumeration Date | 12/10/2024 |
Last Update Date | 12/10/2024 |
Certification Date | 12/10/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730995135 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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