Organization · Type 2 NPI
At4k Texas Providers PLLC
Intellectual & Developmental Disabilities Psychologist · Grapevine, TX
NPI number
1003626581
Active
Practice location
1100 S Main St Ste 103
Grapevine, TX 76051-7531
Mailing address
112 Walnut Blvd Unit 308
Rochester, MI 48307-2317
Other practice locations
- 11240 Farm To Market 1960 Rd W, Ste 201, Houston, TX 77065 · (817) 310-5510
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual & Developmental Disabilities Psychologist Primary | 103TM1800X | None listed |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | None listed |
Intellectual & Developmental Disabilities Psychologist: Definition to come...
About NPI 1003626581
At4k Texas Providers PLLC's National Provider Identifier is 1003626581, issued on Jan 8, 2025. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in Grapevine, TX. The record was last updated on Feb 7, 2025.