| Urgent Psych Rx | |
|
2305 Oak Ln Ste 103 Grand Prairie TX 75051-8243 | |
| (469) 626-8195 | |
| (469) 857-8492 |
| Full Name | Urgent Psych Rx |
|---|---|
| Speciality | Clinic/Center |
| Location | 2305 Oak Ln Ste 103, Grand Prairie, Texas |
| Authorized Official Name and Position | Ket Harris (NURSE PRACITITIONER) |
| Authorized Official Contact | 4696268195 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Urgent Psych Rx 3540 E Broad St # 106-264 Mansfield TX 76063-5633 Ph: (469) 626-8195 | Urgent Psych Rx 2305 Oak Ln Ste 103 Grand Prairie TX 75051-8243 Ph: (469) 626-8195 |
| NPI Number | 1679021042 |
|---|---|
| Provider Enumeration Date | 09/14/2016 |
| Last Update Date | 09/24/2024 |
| Medicare PECOS PAC ID | 4082971213 |
|---|---|
| Medicare Enrollment ID | O20171127001367 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679021042 | NPI | - | NPPES |
| Provider Name | Ket Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588911705 PECOS PAC ID: 4789833609 Enrollment ID: I20121009000153 |
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