| Ncc Endeavor Pllc | |
|
3901 W Green Oaks Blvd Ste B Arlington TX 76016-2789 | |
| (682) 532-9600 | |
| (817) 668-0527 |
| Full Name | Ncc Endeavor Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 3901 W Green Oaks Blvd Ste B, Arlington, Texas |
| Authorized Official Name and Position | Connie M Dunn (OWNER) |
| Authorized Official Contact | 8176883386 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ncc Endeavor Pllc 4200 Country Hill Rd Ft Worth TX 76140-8500 Ph: (817) 688-3386 | Ncc Endeavor Pllc 3901 W Green Oaks Blvd Ste B Arlington TX 76016-2789 Ph: (682) 532-9600 |
| NPI Number | 1144958802 |
|---|---|
| Provider Enumeration Date | 08/10/2022 |
| Last Update Date | 08/10/2022 |
| Certification Date | 08/10/2022 |
| Medicare PECOS PAC ID | 7214307115 |
|---|---|
| Medicare Enrollment ID | O20230111001177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144958802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Connie M Dunn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043956550 PECOS PAC ID: 8123498029 Enrollment ID: I20230111001405 |
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