| Cultivate Psychiatry | |
|
13747 Montfort Dr Ste 320 Dallas TX 75240-4454 | |
| (972) 200-2426 | |
| Not Available |
| Full Name | Cultivate Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 13747 Montfort Dr Ste 320, Dallas, Texas |
| Authorized Official Name and Position | Jay Bhagwan Italiya (PSYCHIATRIST) |
| Authorized Official Contact | 2144583608 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cultivate Psychiatry 3916 Tumbril Ln Plano TX 75023-5713 Ph: () - | Cultivate Psychiatry 13747 Montfort Dr Ste 320 Dallas TX 75240-4454 Ph: (972) 200-2426 |
| NPI Number | 1699485284 |
|---|---|
| Provider Enumeration Date | 12/05/2022 |
| Last Update Date | 02/15/2024 |
| Certification Date | 02/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699485284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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