ALEXANDR VATTAMALA PHILIP (NPI# 1104328723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104328723 |
| Entity Type | Organization |
| Organization Name | ALEXANDR VATTAMALA PHILIP |
| Practice Address |
2301 Olympia Dr Ste 100 Flower Mound TX 75028-1855 |
| Mailing Address |
1400 Valley Ridge Blvd Apt 5107 Lewisville TX 75077-2998 |
| Practice Telephone | 2144362272 |
| Practice Fax Number | 4694649924 |
| Mailing Telephone | 2144362272 |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2018-02-28 |
| Authorized Official Name | MR. ALEXANDR VATTAMALA PHILIP (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Telephone | 2144362272 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
74513 | TX | Behavioral Health & Social Service Providers |
| Street Address |
2301 OLYMPIA DR STE 100 |
| City | FLOWER MOUND |
| State | TX |
| Zip Code | 75028-1855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578185047 | Too Health LLC | Home Health | 1404 Mimosa Ct, Flower Mound, TX 75028 | 2020-05-07 |
| 1417448127 | Kyle Miller | Physical Therapist | 4401 Long Prairie Rd Ste 300, Flower Mound, TX 75028 | 2018-05-29 |
| 1659898450 | Daniel De Armas | Optometrist | 5801 Long Prairie Rd Ste 360, Flower Mound, TX 75028 | 2017-08-23 |
| 1740727114 | Darya Ilushin | Chiropractor | 4305 Windsor Centre Trl Ste 100, Flower Mound, TX 75028 | 2017-01-24 |
| 1033661194 | Rsquared Healthcare Solutions & Consulting | Dentist | 2121 Lavender Lane, Flower Mound, TX 75028 | 2016-10-25 |
| 1912450578 | Jeannie Jin Wang | Dentist | 4421 Long Prairie Rd., #400, Flower Mound, TX 75028 | 2016-08-01 |
| 1700232121 | Carla Upperman-xu | Pediatrics | 2560 Central Park Ave, Suite 195, Flower Mound, TX 75028 | 2016-05-05 |
| 1487015731 | Bincy Philip | Nurse Practitioner | 500 Flower Mound Rd, Suite 102, Flower Mound, TX 75028 | 2016-03-15 |
| 1710369491 | Medical Massage Rx | Chiropractor | 2616 Long Prairie Rd., Suite 101, Flower Mound, TX 75028 | 2015-06-18 |
| 1821485673 | Audrey Morris | Nurse Practitioner | 4441 Long Prairie Road, Suite 400, Flower Mound, TX 75028 | 2015-04-20 |
| Find all providers in zip 75028 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841814415 | Kari Rehmann Rehmann | Counselor | 817 Lake Bluff Dr, Flower Mound, TX 75028-7221 | 2020-05-29 |
| 1699307405 | Heavenly Counseling Pllc | Counselor | 3861 Long Prairie Rd Ste 101, Flower Mound, TX 75028-1799 | 2020-02-10 |
| 1689056863 | Twila Michelle Farrar | Counselor | 1033 Long Prairie Road, Suite 4, Flower Mound, TX 75022 | 2015-06-24 |
| 1326428194 | Jennifer Nalini Baggerly | Counselor | 1933 Maplewood Ln, Flower Mound, TX 75028-7130 | 2015-06-05 |
| 1740687177 | Let Your Soul Shine Counseling, Pllc | Counselor | 2901 Corporate Cir Ste 100, Flower Mound, TX 75028-2284 | 2014-12-01 |
| 1588960447 | Dr Kay Sudekum Trotter - Counseling Services Pllc | Counselor | 3535 Firewheel Dr Ste C, Flower Mound, TX 75028 | 2011-02-09 |
| 1588829832 | Wendy Pretz Helker | Counselor | 3204 Long Prairie Rd, Suite A-1, Flower Mound, TX 75022-2718 | 2008-07-26 |
| 1013085950 | Andrea Stillwell | Counselor | 2301 Olympia Suite 100, Flower Mound, TX 75028 | 2006-11-30 |
| 1154498541 | Jaclyn Carrington | Counselor | 2301 Olympia Drive, Suite 100, Flower Mound, TX 75028 | 2006-11-29 |
| 1730294224 | Kay Sudekum Trotter | Counselor | 4400 Trotter Ln, Flower Mound, TX 75028-8772 | 2006-08-21 |
| Find all providers in FLOWER MOUND | ||||
| City | FLOWER MOUND |
| Zip Code | 75028 |
Please comment or provide details below to improve the information on ALEXANDR VATTAMALA PHILIP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.