institution
Privy Oasis Llc
Psychiatric/Mental Health Nurse Practitioner in Southlake, Texas
NPI 1447681465

Privy Oasis Llc is a Psychiatric/Mental Health Nurse Practitioner based in Southlake, TX and is specialized in Psychiatric/Mental Health. Privy Oasis Llc practices in Southlake, TX. The NPI Number for Privy Oasis Llc is 1447681465 and holds a License No. 799735 (Texas).

The current practice location address for Privy Oasis Llc is 1230 N Kimball Ave Ste 130, Southlake, TX and can be reached out via phone at 833-667-7924.

Location: 1230 N Kimball Ave Ste 130, Southlake, TX, 76092-4707
institution
Provider Profile Details
NPI Number
1447681465
Provider Name
Privy Oasis Llc
Credential
Provider Entity Type
Organization
Address
1230 N Kimball Ave Ste 130, Southlake, TX, 76092-4707
Phone Number
833-667-7924
Fax Number
Provider Enumeration Date
12/01/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1114264199 01 TX NPI
1447681465 01 TX NATIONAL PROVIDER GROUP NPI
institution
Provider Business Practice Location Address Details
Address
1230 N Kimball Ave Ste 130
City
State
Zip
76092-4707
Phone Number
833-667-7924
Fax Number
person
Provider Business Mailing Address Details
Address
1230 N Kimball Ave Ste 130
City
State
Zip
76092-4707
Phone Number
833-667-7924
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
799735 (Texas)
Definition
Definition to come...
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