| Texas In Harmony Psychiatric Group Llc | |
|
7214 Highway 78 Ste 20 Sachse TX 75048-2532 | |
| (972) 454-4005 | |
| Not Available |
| Full Name | Texas In Harmony Psychiatric Group Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7214 Highway 78 Ste 20, Sachse, Texas |
| Authorized Official Name and Position | Edith Kanyongo (APRN) |
| Authorized Official Contact | 2147436159 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas In Harmony Psychiatric Group Llc Po Box 2903 Wylie TX 75098-2903 Ph: () - | Texas In Harmony Psychiatric Group Llc 7214 Highway 78 Ste 20 Sachse TX 75048-2532 Ph: (972) 454-4005 |
| NPI Number | 1871134304 |
|---|---|
| Provider Enumeration Date | 10/06/2019 |
| Last Update Date | 06/19/2020 |
| Certification Date | 06/19/2020 |
| Medicare PECOS PAC ID | 6608298369 |
|---|---|
| Medicare Enrollment ID | O20200625001422 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871134304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Edith Kanyongo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114357571 PECOS PAC ID: 0143452748 Enrollment ID: I20140414001893 |
| Provider Name | Silby J George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518362623 PECOS PAC ID: 5294053914 Enrollment ID: I20150409000662 |
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