Basic Information
| Provider Information | |||||||||
| NPI: | 1558528257 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | METROPLEX PSYCHIATRIC ASSOCIATES | ||||||||
| LastName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 1755 N COLLINS BLVD | ||||||||
| Address2: | SUITE #525 | ||||||||
| City: | RICHARDSON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750803613 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2143695522 | ||||||||
| FaxNumber: | 2143695327 | ||||||||
| Practice Location | |||||||||
| Address1: | 1755 N COLLINS BLVD | ||||||||
| Address2: | SUITE #525 | ||||||||
| City: | RICHARDSON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750803613 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2143695522 | ||||||||
| FaxNumber: | 2143695327 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/20/2008 | ||||||||
| LastUpdateDate: | 01/30/2014 | ||||||||
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| AuthorizedOfficialLastName: | NELSON | ||||||||
| AuthorizedOfficialFirstName: | SARA | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRACTICE ADMINISTRATOR | ||||||||
| AuthorizedOfficialTelephone: | 2143695522 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | Y | 193400000X SINGLE SPECIALTY GROUP | Other Service Providers | Specialist |
No ID Information.