| Iris Y. Carrillo, Ph.d. | |
|
4103 S Texas Ave Ste 203 Bryan TX 77802-4043 | |
| (979) 361-7907 | |
| (979) 846-6557 |
| Full Name | Iris Y. Carrillo, Ph.d. |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 4103 S Texas Ave Ste 203, Bryan, Texas |
| Authorized Official Name and Position | Iris Ylenia Carrillo (PSYCHOLOGIST) |
| Authorized Official Contact | 9793617907 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iris Y. Carrillo, Ph.d. 4103 S Texas Ave Ste 203 Bryan TX 77802-4043 Ph: (979) 361-7907 | Iris Y. Carrillo, Ph.d. 4103 S Texas Ave Ste 203 Bryan TX 77802-4043 Ph: (979) 361-7907 |
| NPI Number | 1326462359 |
|---|---|
| Provider Enumeration Date | 02/11/2014 |
| Last Update Date | 02/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326462359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 36345 (Texas) | Primary |
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