| Texas Opioid Addiction Practices Pllc | |
|
506 E Palm Valley Blvd Round Rock TX 78664-3047 | |
| (512) 645-2525 | |
| Not Available |
| Full Name | Texas Opioid Addiction Practices Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 506 E Palm Valley Blvd, Round Rock, Texas |
| Authorized Official Name and Position | Xingchun Tang (OWNER) |
| Authorized Official Contact | 5126452525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Opioid Addiction Practices Pllc 506 E Palm Valley Blvd Round Rock TX 78664-3047 Ph: (512) 645-2525 | Texas Opioid Addiction Practices Pllc 506 E Palm Valley Blvd Round Rock TX 78664-3047 Ph: (512) 645-2525 |
| NPI Number | 1649894205 |
|---|---|
| Provider Enumeration Date | 05/29/2020 |
| Last Update Date | 05/29/2020 |
| Certification Date | 05/29/2020 |
| Medicare PECOS PAC ID | 0143641530 |
|---|---|
| Medicare Enrollment ID | O20200611001295 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649894205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Xingchun Tang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952501322 PECOS PAC ID: 8224459615 Enrollment ID: I20200611001414 |
| Provider Name | Isabell Webster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154907939 PECOS PAC ID: 1153730080 Enrollment ID: I20210506000283 |
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