Organization · Type 2 NPI
Alphatelemedtexas
Psychiatric/Mental Health Nurse Practitioner · Austin, TX
NPI number
1629670682
Active
Practice location
11615 Angus Rd Ste 104R
Austin, TX 78759-4146
Fax (571) 252-7100
Mailing address
10622 Runaway Ln
Great Falls, VA 22066-2420
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1629670682
Alphatelemedtexas's National Provider Identifier is 1629670682, issued on Nov 13, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Austin, TX. The record was last updated on Jul 3, 2024.