EZ MIND PSYCHIATRY PLLC


Address: 6005 Andover Dr Apt 27, The Colony, TX 75056-5232
Phone: 9726326040

EZ MIND PSYCHIATRY PLLC (NPI# 1790399863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790399863
Entity Type Organization
Organization Name EZ MIND PSYCHIATRY PLLC
Practice Address 6005 Andover Dr Apt 27
The Colony
TX 75056-5232
Mailing Address 3751 Main St Ste 600
The Colony
TX 75056-4138
Practice Telephone 9726326040
Mailing Telephone 9726326040
Enumeration Date 2020-09-04
Last Update Date 2020-09-04
Authorized Official Name KEVIN J PETER (CREDENTIALING SPECIALIST)
Authorized Official Telephone 5308686944
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6005 ANDOVER DR APT 27
City THE COLONY
State TX
Zip Code 75056-5232

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1356877724 Jamie Mutschler Speech-Language Pathologist 220 Eastland Drive, Lewisville, TX 75056 2017-05-04
1831639160 Jacqueline Nguyen Bang Counselor 2287 Sir Amant Drive, Lewisville, TX 75056 2017-03-06
1417495052 Mary Alice Neville Physician Assistant 3600 Main Street, Suite 100, The Colony, TX 75056 2017-02-02
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1154929735 Valerie Michelle Vaughn-smith Nurse Practitioner 3105 Rockbrook Dr, Kilgore, TX 75662-2251 2020-10-15
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Competitor

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City THE COLONY
Zip Code 75056

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Dataset Information

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.

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