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NPI Code Detail

MEDICARE: REGAN BOYD LPC

MEDICARE: REGAN BOYD LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor66852TX

General Provider Information

NPI Number : 1548526684
Entity Type Code : Individual
Provider Name (Legal Business Name) : REGAN BOYD LPC
Provider Business Mailing Address
First Line : 13602 KLAMATH FALLS DR
Second Line :
City : HOUSTON
State : TX
Zip : 77041-5904
Country : US
Telephone Number : 832-868-7207
Fax Number :
Provider Business Practice Location Address
First Line : 3737 DACOMA ST
Second Line :
City : HOUSTON
State : TX
Zip : 77092-8905
Country : US
Telephone Number : 713-970-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2012
Last Update Date : 10/29/2018

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Directions to “ REGAN BOYD LPC” Practice Location

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