Scott Psychiatric Solutions | |
10300 N Central Expy Ste 280 Dallas TX 75231-8666 | |
(214) 617-8508 | |
Not Available |
Full Name | Scott Psychiatric Solutions |
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Speciality | Nurse Practitioner |
Location | 10300 N Central Expy Ste 280, Dallas, Texas |
Authorized Official Name and Position | Donavan Scott (PSYCHIATRIC NURSE PRACTITIONER) |
Authorized Official Contact | 2145571378 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Scott Psychiatric Solutions 539 W Commerce St Ste 4360 Dallas TX 75208-1953 Ph: (214) 617-8508 | Scott Psychiatric Solutions 10300 N Central Expy Ste 280 Dallas TX 75231-8666 Ph: (214) 617-8508 |
NPI Number | 1134861784 |
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Provider Enumeration Date | 04/12/2022 |
Last Update Date | 11/14/2023 |
Certification Date | 11/14/2023 |
Medicare PECOS PAC ID | 9931587730 |
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Medicare Enrollment ID | O20220607002717 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134861784 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
Provider Name | Donavan Scott |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902489305 PECOS PAC ID: 1658777321 Enrollment ID: I20210903000556 |
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