| Tamisika Psycorp Pllc | |
|
22054 Rustic Canyon Ln Richmond TX 77469-6294 | |
| (832) 253-5046 | |
| Not Available |
| Full Name | Tamisika Psycorp Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 22054 Rustic Canyon Ln, Richmond, Texas |
| Authorized Official Name and Position | Carlos Smith (PSYCHOLOGIST) |
| Authorized Official Contact | 8322535046 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tamisika Psycorp Pllc Po Box 1456 Richmond TX 77406-0037 Ph: () - | Tamisika Psycorp Pllc 22054 Rustic Canyon Ln Richmond TX 77469-6294 Ph: (832) 253-5046 |
| NPI Number | 1306398672 |
|---|---|
| Provider Enumeration Date | 11/02/2016 |
| Last Update Date | 02/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306398672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 34841 (Texas) | Primary |
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