Psychiatric Management, Llc | |
2725 S Jones Blvd Suite 104 Las Vegas NV 89146-5667 | |
(405) 840-1999 | |
(405) 848-3298 |
Full Name | Psychiatric Management, Llc |
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Speciality | Psychiatry & Neurology |
Location | 2725 S Jones Blvd, Las Vegas, Nevada |
Authorized Official Name and Position | David E Linden (OWNER) |
Authorized Official Contact | 4058401999 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Psychiatric Management, Llc 4900 Richmond Sq Suite 102 Oklahoma City OK 73118-2028 Ph: (405) 840-1999 | Psychiatric Management, Llc 2725 S Jones Blvd Suite 104 Las Vegas NV 89146-5667 Ph: (405) 840-1999 |
NPI Number | 1841645934 |
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Provider Enumeration Date | 04/26/2016 |
Last Update Date | 08/03/2016 |
Medicare PECOS PAC ID | 4486934254 |
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Medicare Enrollment ID | O20161213002284 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841645934 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | David Earl Linden |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1821062324 PECOS PAC ID: 1052228822 Enrollment ID: I20070220000037 |
Provider Name | Ancy Tom |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669840203 PECOS PAC ID: 7012201940 Enrollment ID: I20160815002894 |
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