| |
535 E Fernhurst Dr Suite 107 Katy TX 77450-1431 | |
(979) 820-7024 | |
Not Available |
Full Name | |
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Speciality | Psychologist |
Location | 535 E Fernhurst Dr, Katy, Texas |
Authorized Official Name and Position | Lizette Ojeda (PSYCHOLOGIST) |
Authorized Official Contact | 9798207024 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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535 E Fernhurst Dr Suite 107 Katy TX 77450-1431 Ph: () - | 535 E Fernhurst Dr Suite 107 Katy TX 77450-1431 Ph: (979) 820-7024 |
NPI Number | 1992175186 |
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Provider Enumeration Date | 09/30/2015 |
Last Update Date | 11/10/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992175186 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 36264 (Texas) | Primary |
251S00000X | Community/behavioral Health | 36264 (Texas) | Secondary |
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