| Etpns | |
|
700 S Palestine St Athens TX 75751-3325 | |
| (903) 675-9570 | |
| (903) 675-9577 |
| Full Name | Etpns |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 700 S Palestine St, Athens, Texas |
| Authorized Official Name and Position | William A Mcbride (OWNER) |
| Authorized Official Contact | 9039390799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Etpns 700 S Palestine St Athens TX 75751-3325 Ph: (903) 675-9570 | Etpns 700 S Palestine St Athens TX 75751-3325 Ph: (903) 675-9570 |
| NPI Number | 1588846034 |
|---|---|
| Provider Enumeration Date | 11/27/2007 |
| Last Update Date | 11/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588846034 | NPI | - | NPPES |
| 8K2170 | Other | TX | BCBS GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 26853 (Texas) | Primary |
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