1215351010 NPI number — WHITE ROCK PSYCHIATRIC AND PSYCHOTHERAPY SERVICES

Table of content: (NPI 1215351010)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215351010 NPI number — WHITE ROCK PSYCHIATRIC AND PSYCHOTHERAPY SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WHITE ROCK PSYCHIATRIC AND PSYCHOTHERAPY SERVICES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1215351010
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/13/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7952 BRIAR BROOK CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75218-4514
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
214-728-9080
Provider Business Mailing Address Fax Number:
469-249-1059

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1350 N BUCKNER BLVD
Provider Second Line Business Practice Location Address:
214
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75218-3500
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-321-2500
Provider Business Practice Location Address Fax Number:
469-249-1059
Provider Enumeration Date:
02/13/2014

Additional Information

Authorized Official

Authorized Official Last Name:
NAVARRO
Authorized Official First Name:
ERIKA
Authorized Official Middle Name:
MARIA
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
214-728-9080

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  L2496 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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