| Progressive Pathways Psychiatry Pllc | |
|
1428 E Arlington Ave Fort Worth TX 76104-6124 | |
| (469) 442-9930 | |
| Not Available |
| Full Name | Progressive Pathways Psychiatry Pllc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1428 E Arlington Ave, Fort Worth, Texas |
| Authorized Official Name and Position | Edoghogho Edosonmwan (NP) |
| Authorized Official Contact | 4694429930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Pathways Psychiatry Pllc 1428 E Arlington Ave Fort Worth TX 76104-6124 Ph: (469) 442-9930 | Progressive Pathways Psychiatry Pllc 1428 E Arlington Ave Fort Worth TX 76104-6124 Ph: (469) 442-9930 |
| NPI Number | 1285479238 |
|---|---|
| Provider Enumeration Date | 06/29/2024 |
| Last Update Date | 08/07/2024 |
| Certification Date | 08/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285479238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
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