| Geek Therapeutics | |
|
7801 Oakmont Blvd Ste 101 Fort Worth TX 76132-4242 | |
| (682) 231-2420 | |
| Not Available |
| Full Name | Geek Therapeutics |
|---|---|
| Speciality | Psychologist |
| Location | 7801 Oakmont Blvd Ste 101, Fort Worth, Texas |
| Authorized Official Name and Position | Anthony Bean (CEO) |
| Authorized Official Contact | 4135632729 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geek Therapeutics 7801 Oakmont Blvd Ste 101 Fort Worth TX 76132-4242 Ph: (682) 231-2420 | Geek Therapeutics 7801 Oakmont Blvd Ste 101 Fort Worth TX 76132-4242 Ph: (682) 231-2420 |
| NPI Number | 1508503103 |
|---|---|
| Provider Enumeration Date | 05/16/2022 |
| Last Update Date | 11/02/2023 |
| Certification Date | 11/02/2023 |
| Medicare PECOS PAC ID | 5496111080 |
|---|---|
| Medicare Enrollment ID | O20230524002518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508503103 | NPI | - | NPPES |
| Provider Name | Joseph Frederick Atanasio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043612351 PECOS PAC ID: 1759689227 Enrollment ID: I20160415001995 |
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