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Chandratara, Pa
Prescribing (Medical) Psychologist in Frisco, Texas
NPI 1245596006

Chandratara, Pa is a Prescribing (Medical) Psychologist based in Frisco, TX and is specialized in Prescribing (Medical). Chandratara, Pa practices in Frisco, TX. The NPI Number for Chandratara, Pa is 1245596006 and holds a License No. N9542 (Texas).

The current practice location address for Chandratara, Pa is 4500 Hillcrest Rd Ste 115, Frisco, TX and can be reached out via phone at 469-213-6400 and via fax at 469-213-6473.

Location: 4500 Hillcrest Rd Ste 115, Frisco, TX, 75035-5418
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245596006
Provider Name
Chandratara, Pa
Credential
Provider Entity Type
Organization
Address
4500 Hillcrest Rd Ste 115, Frisco, TX, 75035-5418
Phone Number
469-213-6400
Fax Number
469-213-6473
Provider Enumeration Date
04/05/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
318504 01 TX MEDICARE PTAN
363043 01 TX MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
4500 Hillcrest Rd Ste 115
City
Frisco
State
Texas
Zip
75035-5418
Phone Number
469-213-6400
Fax Number
469-213-6473
person
Provider Business Mailing Address Details
Address
4500 Hillcrest Rd Ste 115
City
Frisco
State
Texas
Zip
75035-5418
Phone Number
469-213-6400
Fax Number
469-213-6473
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
N9542 (Texas)
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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