| Madre Bay Consulting And Psychological Services, Pllc | |
|
215 E Queen Isabella Blvd Ste 102b Port Isabel TX 78578-2434 | |
| (956) 299-6107 | |
| (956) 299-6107 |
| Full Name | Madre Bay Consulting And Psychological Services, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 215 E Queen Isabella Blvd Ste 102b, Port Isabel, Texas |
| Authorized Official Name and Position | Marsha N Sargeant (OWNER) |
| Authorized Official Contact | 9562996107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madre Bay Consulting And Psychological Services, Pllc 922 N Shore Dr Port Isabel TX 78578-4633 Ph: (956) 299-6107 | Madre Bay Consulting And Psychological Services, Pllc 215 E Queen Isabella Blvd Ste 102b Port Isabel TX 78578-2434 Ph: (956) 299-6107 |
| NPI Number | 1114448925 |
|---|---|
| Provider Enumeration Date | 06/30/2017 |
| Last Update Date | 06/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114448925 | NPI | - | NPPES |
| 362234201 | Medicaid | TX | |
| P01804306 | Other | TX | RAILROAD MEDICARE |
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