Organization · Type 2 NPI

Parmer Lane Medical Office LLC

Adult Mental Health Clinic/Center · Cedar Park, TX

NPI number 1407409436 Active

Practice location

11901 W Parmer Ln Ste 310
Cedar Park, TX 78613-7654

Fax (512) 843-7164

Specialties and licenses

Taxonomy	Code	License
Adult Mental Health Clinic/Center Primary	261QM0850X	None listed

Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

3 other providers at this address

Other adult mental health clinic/center providers in Cedar Park

See all in Cedar Park →

NPI record

NPI: 1407409436
Entity type: Organization (Type 2)
Issued: Jul 18, 2019
Last updated: Jul 18, 2019
Status: Active
Subpart: Yes of Brian S. Earthman MD PA

Other names

Parmer Lane Medical Office LLC · former legal business name

Authorized official

Dr. Brian Stuart Earthman, MD
President/owner
(512) 528-9498

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About NPI 1407409436

Parmer Lane Medical Office LLC's National Provider Identifier is 1407409436, issued on Jul 18, 2019. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Cedar Park, TX. The record was last updated on Jul 18, 2019.