| The Sparrow Center, Pllc | |
|
108 E Bagdad Ave Ste 50 Round Rock TX 78664-5255 | |
| (512) 308-6613 | |
| Not Available |
| Full Name | The Sparrow Center, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 108 E Bagdad Ave Ste 50, Round Rock, Texas |
| Authorized Official Name and Position | Rebekah Joann Pridgeon (OWNER) |
| Authorized Official Contact | 5123086613 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Sparrow Center, Pllc 108 E Bagdad Ave Ste 50 Round Rock TX 78664-5255 Ph: (512) 308-6613 | The Sparrow Center, Pllc 108 E Bagdad Ave Ste 50 Round Rock TX 78664-5255 Ph: (512) 308-6613 |
| NPI Number | 1770165557 |
|---|---|
| Provider Enumeration Date | 04/22/2021 |
| Last Update Date | 04/22/2021 |
| Certification Date | 04/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770165557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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