| Kryskay Psychiatry Pllc | |
|
117 Melbourne Rd Hurst TX 76053-6318 | |
| (682) 202-0591 | |
| (682) 334-7615 |
| Full Name | Kryskay Psychiatry Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 117 Melbourne Rd, Hurst, Texas |
| Authorized Official Name and Position | Pauline N Ireagbu George (OWNER OF ENTITY) |
| Authorized Official Contact | 6822020591 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kryskay Psychiatry Pllc 117 Melbourne Rd Hurst TX 76053-6318 Ph: (682) 202-0591 | Kryskay Psychiatry Pllc 117 Melbourne Rd Hurst TX 76053-6318 Ph: (682) 202-0591 |
| NPI Number | 1508570706 |
|---|---|
| Provider Enumeration Date | 01/11/2023 |
| Last Update Date | 03/06/2026 |
| Certification Date | 03/06/2026 |
| Medicare PECOS PAC ID | 8527439405 |
|---|---|
| Medicare Enrollment ID | O20230201001897 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508570706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Pauline N Ireagbu George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760017065 PECOS PAC ID: 7911378807 Enrollment ID: I20230201002437 |
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