Basic Information
| Provider Information | |||||||||
| NPI: | 1184137614 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TSOPZE | ||||||||
| FirstName: | ROLAND | ||||||||
| MiddleName: | MARTIAL | ||||||||
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| Credential: | PMHNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8811 TEEL PKWY. SUITE 100 #5114 | ||||||||
| Address2: | |||||||||
| City: | FRISCO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 75036 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4695465539 | ||||||||
| FaxNumber: | 4695469531 | ||||||||
| Practice Location | |||||||||
| Address1: | 7300 ELDORADO PKWY STE 225 | ||||||||
| Address2: | |||||||||
| City: | MCKINNEY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750703590 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9728933376 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/06/2017 | ||||||||
| LastUpdateDate: | 08/02/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/02/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP0808X | AP135750 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psych/Mental Health |
No ID Information.