| Lazaro Counseling Center, Llc | |
|
3960 Broadway Blvd Suite 135 Garland TX 75043-2593 | |
| (972) 840-9900 | |
| (972) 840-9980 |
| Full Name | Lazaro Counseling Center, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 3960 Broadway Blvd, Garland, Texas |
| Authorized Official Name and Position | Pushpa Natwar Chauhan (OWNER) |
| Authorized Official Contact | 9728409900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lazaro Counseling Center, Llc 3960 Broadway Blvd Suite 135 Garland TX 75043-2593 Ph: (972) 840-9900 | Lazaro Counseling Center, Llc 3960 Broadway Blvd Suite 135 Garland TX 75043-2593 Ph: (972) 840-9900 |
| NPI Number | 1134255714 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8729112883 |
|---|---|
| Medicare Enrollment ID | O20100812000038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134255714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 30862 (Texas) | Primary |
| Provider Name | Pushpa N Chauhan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013901727 PECOS PAC ID: 2466476080 Enrollment ID: I20060123000675 |
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