Pinkerman Psychological Services, Pllc | |
413 E Railroad Ave Port Isabel TX 78578-4108 | |
(956) 451-8113 | |
Not Available |
Full Name | Pinkerman Psychological Services, Pllc |
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Speciality | Psychologist |
Location | 413 E Railroad Ave, Port Isabel, Texas |
Authorized Official Name and Position | John Edward Pinkerman (OWNER) |
Authorized Official Contact | 9564518113 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pinkerman Psychological Services, Pllc 413 E Railroad Ave Port Isabel TX 78578-4108 Ph: (956) 451-8113 | Pinkerman Psychological Services, Pllc 413 E Railroad Ave Port Isabel TX 78578-4108 Ph: (956) 451-8113 |
NPI Number | 1316492093 |
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Provider Enumeration Date | 08/23/2016 |
Last Update Date | 10/04/2016 |
Medicare PECOS PAC ID | 1052609450 |
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Medicare Enrollment ID | O20161018002684 |
Identifier | Type | State | Issuer |
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1316492093 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | 25451 (Texas) | Primary |
Provider Name | John E Pinkerman |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1023027448 PECOS PAC ID: 4880580042 Enrollment ID: I20140310001328 |
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