| Deborah T Combs Cantrell, M.d., P.a. | |
|
7301 State Highway 161 Ste 160 Irving TX 75039-2816 | |
| (972) 869-3448 | |
| (972) 409-7729 |
| Full Name | Deborah T Combs Cantrell, M.d., P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7301 State Highway 161, Irving, Texas |
| Authorized Official Name and Position | Deborah T Combs Cantrell (PRESIDENT) |
| Authorized Official Contact | 9728693448 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah T Combs Cantrell, M.d., P.a. 405 State Highway 121 Byp Building A Ste 150 Lewisville TX 75067-8214 Ph: (972) 869-3448 | Deborah T Combs Cantrell, M.d., P.a. 7301 State Highway 161 Ste 160 Irving TX 75039-2816 Ph: (972) 869-3448 |
| NPI Number | 1467581587 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 07/23/2010 |
| Medicare PECOS PAC ID | 3971696899 |
|---|---|
| Medicare Enrollment ID | O20080115000605 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467581587 | NPI | - | NPPES |
| 136311102 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Deborah T Combs-cantrell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326144304 PECOS PAC ID: 1254424161 Enrollment ID: I20070910000324 |
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