Pathlight Neuropsychiatric Center Llc | |
5120 Legacy Dr Ste 150 Plano TX 75024-3400 | |
(877) 825-8584 | |
Not Available |
Full Name | Pathlight Neuropsychiatric Center Llc |
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Speciality | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry |
Location | 5120 Legacy Dr Ste 150, Plano, Texas |
Authorized Official Name and Position | Marina Shepel (CONTRACTING & CREDENTIALING MANAGE) |
Authorized Official Contact | 4252149321 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pathlight Neuropsychiatric Center Llc 7351 E Lowry Blvd Ste 200 Denver CO 80230-6083 Ph: () - | Pathlight Neuropsychiatric Center Llc 5120 Legacy Dr Ste 150 Plano TX 75024-3400 Ph: (877) 825-8584 |
NPI Number | 1982350203 |
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Provider Enumeration Date | 02/24/2022 |
Last Update Date | 02/24/2022 |
Certification Date | 02/24/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982350203 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | (* (Not Available)) | Primary |
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