Organization Name: | VERICARE OF TEXAS, P.A. |
NPI Number: | 1447201579 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL R. BUDDD (ASSISTANT CORPORATE SECRETARY) |
Mailing Address: | 109 N. Mckinney St Sweeny |
State: | TX US |
Postal Code: | 774803400 |
Phone Number: | 8002578715 |
Fax Number: | 8008191655 |
NPI Enumeration Date: | 05/13/2006 |
NPI Last Update Date: | 12/21/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 04/11/2007 |
NPI Reactivation Date: | 08/08/2007 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0813X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health, Geropsychiatric |
Taxonomy Definition: |