| Leanonme Psychiatry | |
|
318 W Belt Line Rd Ste 304 Cedar Hill TX 75104-1103 | |
| (972) 972-4767 | |
| (972) 972-3747 |
| Full Name | Leanonme Psychiatry |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 318 W Belt Line Rd Ste 304, Cedar Hill, Texas |
| Authorized Official Name and Position | Abara Dibaki (PRACTICE MANAGER) |
| Authorized Official Contact | 9729724767 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leanonme Psychiatry 318 W Belt Line Rd Ste 304 Cedar Hill TX 75104-1103 Ph: (972) 972-4767 | Leanonme Psychiatry 318 W Belt Line Rd Ste 304 Cedar Hill TX 75104-1103 Ph: (972) 972-4767 |
| NPI Number | 1043776834 |
|---|---|
| Provider Enumeration Date | 02/16/2019 |
| Last Update Date | 02/04/2023 |
| Certification Date | 02/04/2023 |
| Medicare PECOS PAC ID | 9931440187 |
|---|---|
| Medicare Enrollment ID | O20190416001910 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043776834 | NPI | - | NPPES |
| Provider Name | Atemnkeng F Dibaki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750758512 PECOS PAC ID: 3476836123 Enrollment ID: I20170203001555 |
| Provider Name | Nnene N Egbe-tambe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417541194 PECOS PAC ID: 6901298728 Enrollment ID: I20220127001858 |
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