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Cerebro Llc
Psychiatric/Mental Health Nurse Practitioner in Prosper, Texas
NPI 1336619329

Cerebro Llc is a Psychiatric/Mental Health Nurse Practitioner based in Prosper, TX and is specialized in Psychiatric/Mental Health. Cerebro Llc practices in Prosper, TX. The NPI Number for Cerebro Llc is 1336619329 and holds a License No. (Texas).

The current practice location address for Cerebro Llc is 307 E 1St St Ste 10-4, Prosper, TX and can be reached out via phone at 903-946-1261.

Location: 307 E 1St St Ste 10-4, Prosper, TX, 75078-1041
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336619329
Provider Name
Cerebro Llc
Credential
Provider Entity Type
Organization
Address
307 E 1St St Ste 10-4, Prosper, TX, 75078-1041
Phone Number
903-946-1261
Fax Number
Provider Enumeration Date
12/03/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AP139190 01 TX STATE ADVANCED PRACTICE LICENSE
institution
Provider Business Practice Location Address Details
Address
307 E 1St St Ste 10-4
City
Prosper
State
Texas
Zip
75078-2973
Phone Number
903-946-1261
Fax Number
person
Provider Business Mailing Address Details
Address
307 E 1St St Ste 10-4
City
Prosper
State
Texas
Zip
75078-2973
Phone Number
903-946-1261
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
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Definition
Definition to come...
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