| Neurohispanos Pllc | |
|
1404 Gables Ct Ste 102 Plano TX 75075 | |
| (214) 548-4803 | |
| (888) 974-0364 |
| Full Name | Neurohispanos Pllc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1404 Gables Ct Ste 102, Plano, Texas |
| Authorized Official Name and Position | Katrina Belen (OWNER) |
| Authorized Official Contact | 7863156655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurohispanos Pllc 550 N. Central Expressway Pmb 1482 Mckinney TX 75070-7647 Ph: (214) 548-4803 | Neurohispanos Pllc 1404 Gables Ct Ste 102 Plano TX 75075 Ph: (214) 548-4803 |
| NPI Number | 1316486749 |
|---|---|
| Provider Enumeration Date | 02/17/2017 |
| Last Update Date | 05/25/2023 |
| Certification Date | 05/25/2023 |
| Medicare PECOS PAC ID | 0143584680 |
|---|---|
| Medicare Enrollment ID | O20180508002617 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316486749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (Texas) | Primary |
| Provider Name | Katrina Escherick Belen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629477724 PECOS PAC ID: 0547482341 Enrollment ID: I20141111001963 |
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