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2150 Lakeside Blvd Suite 100 Richardson TX 75082-4302 | |
| (972) 437-4698 | |
| (972) 690-9309 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2150 Lakeside Blvd, Richardson, Texas |
| Authorized Official Name and Position | Ann Hopson (PATIENT ACCOUNTS REPRESENTATIVE) |
| Authorized Official Contact | 9724374698 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2150 Lakeside Blvd Suite 100 Richardson TX 75082-4302 Ph: (972) 437-4698 | 2150 Lakeside Blvd Suite 100 Richardson TX 75082-4302 Ph: (972) 437-4698 |
| NPI Number | 1285680512 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 04/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285680512 | NPI | - | NPPES |
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