Healthcare Provider Details

I. General information

NPI: 1023932522
Provider Name (Legal Business Name): PMA / AADHAR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6404 INTERNATIONAL PKWY STE 1010
PLANO TX
75093-8346
US

IV. Provider business mailing address

6404 INTERNATIONAL PKWY STE 1010
PLANO TX
75093-8346
US

V. Phone/Fax

Practice location:
  • Phone: 214-249-9210
  • Fax: 214-249-9210
Mailing address:
  • Phone: 214-249-9210
  • Fax: 214-249-9210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: JEANNE MONTILLA
Title or Position: RN
Credential: BSN, RN
Phone: 214-249-9210