Legacy Psychiatric Consultants, Pllc | |
5045 Lorimar Dr Ste 290 Plano TX 75093-5721 | |
(972) 403-1463 | |
(972) 403-1465 |
Full Name | Legacy Psychiatric Consultants, Pllc |
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Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
Location | 5045 Lorimar Dr Ste 290, Plano, Texas |
Authorized Official Name and Position | David W Crumpacker (OWNER) |
Authorized Official Contact | 9724031463 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Legacy Psychiatric Consultants, Pllc 5045 Lorimar Dr Ste 290 Plano TX 75093-5721 Ph: (972) 403-1463 | Legacy Psychiatric Consultants, Pllc 5045 Lorimar Dr Ste 290 Plano TX 75093-5721 Ph: (972) 403-1463 |
NPI Number | 1841506789 |
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Provider Enumeration Date | 08/30/2010 |
Last Update Date | 08/30/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841506789 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | J8977 (Texas) | Primary |
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