| Psychmed Innovative Solutions | |
|
130 S Central Expy Mckinney TX 75070-3742 | |
| (972) 547-8000 | |
| Not Available |
| Full Name | Psychmed Innovative Solutions |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 130 S Central Expy, Mckinney, Texas |
| Authorized Official Name and Position | Maximus Anitube (CEO) |
| Authorized Official Contact | 6178385373 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychmed Innovative Solutions 1704 Lisburn Dr Mckinney TX 75071-3348 Ph: (617) 838-5373 | Psychmed Innovative Solutions 130 S Central Expy Mckinney TX 75070-3742 Ph: (972) 547-8000 |
| NPI Number | 1588129365 |
|---|---|
| Provider Enumeration Date | 02/05/2019 |
| Last Update Date | 02/05/2019 |
| Medicare PECOS PAC ID | 7911247465 |
|---|---|
| Medicare Enrollment ID | O20190319002486 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588129365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Maximus Nwakalunna Anitube |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316250483 PECOS PAC ID: 5395996938 Enrollment ID: I20130309000001 |
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