| Ntx Neuropsychology | |
|
5055 W Park Blvd Ste 400 Plano TX 75093-2590 | |
| (214) 814-4055 | |
| (469) 409-0371 |
| Full Name | Ntx Neuropsychology |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 5055 W Park Blvd Ste 400, Plano, Texas |
| Authorized Official Name and Position | Andrea Lynn Hester (PRESIDENT/CEO) |
| Authorized Official Contact | 2148144055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ntx Neuropsychology 5055 W Park Blvd Ste 400 Plano TX 75093-2590 Ph: (214) 814-4055 | Ntx Neuropsychology 5055 W Park Blvd Ste 400 Plano TX 75093-2590 Ph: (214) 814-4055 |
| NPI Number | 1275389413 |
|---|---|
| Provider Enumeration Date | 04/29/2024 |
| Last Update Date | 05/10/2024 |
| Certification Date | 05/10/2024 |
| Medicare PECOS PAC ID | 8527409283 |
|---|---|
| Medicare Enrollment ID | O20240513000262 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275389413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Andrea Lynn Hester |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699009407 PECOS PAC ID: 7214074889 Enrollment ID: I20091030000297 |
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