| Neuropsychological Services Of Texarkana Pllc | |
|
5411 Plaza Dr Ste E Texarkana TX 75503-1667 | |
| (903) 255-0171 | |
| (903) 255-0172 |
| Full Name | Neuropsychological Services Of Texarkana Pllc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 5411 Plaza Dr Ste E, Texarkana, Texas |
| Authorized Official Name and Position | Bryan Smith (OWNER) |
| Authorized Official Contact | 9032550171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuropsychological Services Of Texarkana Pllc 5411 Plaza Dr Ste E Texarkana TX 75503-1667 Ph: (903) 255-0171 | Neuropsychological Services Of Texarkana Pllc 5411 Plaza Dr Ste E Texarkana TX 75503-1667 Ph: (903) 255-0171 |
| NPI Number | 1104392067 |
|---|---|
| Provider Enumeration Date | 10/18/2018 |
| Last Update Date | 10/18/2018 |
| Medicare PECOS PAC ID | 8820332158 |
|---|---|
| Medicare Enrollment ID | O20181127002888 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104392067 | NPI | - | NPPES |
| 1306834015 | Other | NEUROPSYCHOLOGIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Bryan E Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306834015 PECOS PAC ID: 6709855018 Enrollment ID: I20041018000244 |
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