| Tpc | |
|
1017 Queens Lake Trl Mckinney TX 75071-1756 | |
| (940) 703-5184 | |
| Not Available |
| Full Name | Tpc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1017 Queens Lake Trl, Mckinney, Texas |
| Authorized Official Name and Position | Nadia T Hasan (PRESIDENT) |
| Authorized Official Contact | 9407035184 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tpc 1017 Queens Lake Trl Mckinney TX 75071-1756 Ph: (940) 703-5184 | Tpc 1017 Queens Lake Trl Mckinney TX 75071-1756 Ph: (940) 703-5184 |
| NPI Number | 1255915393 |
|---|---|
| Provider Enumeration Date | 05/05/2021 |
| Last Update Date | 04/08/2022 |
| Certification Date | 04/07/2022 |
| Medicare PECOS PAC ID | 5597162164 |
|---|---|
| Medicare Enrollment ID | O20210923003153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255915393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Nadia T Hasan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699123075 PECOS PAC ID: 5092005678 Enrollment ID: I20160610000227 |
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