| Tikvah Psychiatry | |
|
112 Grey Stone St Aledo TX 76008-1156 | |
| (361) 332-2910 | |
| Not Available |
| Full Name | Tikvah Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 112 Grey Stone St, Aledo, Texas |
| Authorized Official Name and Position | Dede Epeeham Echitey (NURSE PRACTITIONER) |
| Authorized Official Contact | 3613322910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tikvah Psychiatry 112 Grey Stone St Aledo TX 76008-1156 Ph: (361) 332-2910 | Tikvah Psychiatry 112 Grey Stone St Aledo TX 76008-1156 Ph: (361) 332-2910 |
| NPI Number | 1669249520 |
|---|---|
| Provider Enumeration Date | 12/11/2023 |
| Last Update Date | 04/12/2024 |
| Certification Date | 04/12/2024 |
| Medicare PECOS PAC ID | 8921449398 |
|---|---|
| Medicare Enrollment ID | O20240516000766 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669249520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Dede E Echitey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821474412 PECOS PAC ID: 8426366212 Enrollment ID: I20230404000380 |
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