| Add/adhd Treatment Center Llc | |
|
1524 Independence Pkwy Suite A-1 Plano TX 75075-6406 | |
| (972) 943-0410 | |
| (972) 212-4270 |
| Full Name | Add/adhd Treatment Center Llc |
|---|---|
| Speciality | Pediatrics |
| Location | 1524 Independence Pkwy, Plano, Texas |
| Authorized Official Name and Position | Robert C Young (MANAGER) |
| Authorized Official Contact | 9729430410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Add/adhd Treatment Center Llc Po Box 940445 Plano TX 75094-0445 Ph: (972) 943-0410 | Add/adhd Treatment Center Llc 1524 Independence Pkwy Suite A-1 Plano TX 75075-6406 Ph: (972) 943-0410 |
| NPI Number | 1700191822 |
|---|---|
| Provider Enumeration Date | 08/12/2010 |
| Last Update Date | 08/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700191822 | NPI | - | NPPES |
| 1982607909 | Other | TX | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C5934 (Texas) | Secondary |
| 208000000X | Pediatrics | C5934 (Texas) | Primary |
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