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Impact Psychiatry Pc
Psychiatric/Mental Health Nurse Practitioner in Grand Prairie, Texas
NPI 1578185401

Impact Psychiatry Pc is a Psychiatric/Mental Health Nurse Practitioner based in Grand Prairie, TX and is specialized in Psychiatric/Mental Health. Impact Psychiatry Pc practices in Grand Prairie, TX. The NPI Number for Impact Psychiatry Pc is 1578185401 and holds a License No. (Texas).

The current practice location address for Impact Psychiatry Pc is 2080 N State Highway 360 Ste 236, Grand Prairie, TX and can be reached out via phone at 214-677-0224.

Location: 2080 N State Highway 360 Ste 236, Grand Prairie, TX, 75050-1467
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578185401
Provider Name
Impact Psychiatry Pc
Credential
Provider Entity Type
Organization
Address
2080 N State Highway 360 Ste 236, Grand Prairie, TX, 75050-1467
Phone Number
214-677-0224
Fax Number
Provider Enumeration Date
05/14/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2080 N State Highway 360 Ste 236
City
Grand Prairie
State
Texas
Zip
75050-1467
Phone Number
214-677-0224
Fax Number
person
Provider Business Mailing Address Details
Address
2080 N State Highway 360 Ste 236
City
Grand Prairie
State
Texas
Zip
75050-1467
Phone Number
214-677-0224
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.
()
Definition
Definition to come...
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