| Sunshine Family Psychiatry Pllc | |
|
701 Hawk Wood Ln Prosper TX 75078-2001 | |
| (469) 526-5691 | |
| Not Available |
| Full Name | Sunshine Family Psychiatry Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 701 Hawk Wood Ln, Prosper, Texas |
| Authorized Official Name and Position | Louis Logan (MANAGER) |
| Authorized Official Contact | 4695265691 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine Family Psychiatry Pllc 701 Hawk Wood Ln Prosper TX 75078-2001 Ph: () - | Sunshine Family Psychiatry Pllc 701 Hawk Wood Ln Prosper TX 75078-2001 Ph: (469) 526-5691 |
| NPI Number | 1306672837 |
|---|---|
| Provider Enumeration Date | 09/11/2024 |
| Last Update Date | 09/11/2024 |
| Certification Date | 09/11/2024 |
| Medicare PECOS PAC ID | 6204367576 |
|---|---|
| Medicare Enrollment ID | O20240927001997 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306672837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Pradeep Reddy Tatagari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467614610 PECOS PAC ID: 5991987505 Enrollment ID: I20191101000444 |
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