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NPI 1255427548

NPI 1255427548 : MCALLEN PSYCHOLOGICAL CENTER : MCALLEN, TX

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General NPI Number Information
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    NPI Number           |    1255427548
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    Entity Type          |    Organization 
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    Legal Business Name  |    MCALLEN PSYCHOLOGICAL CENTER 
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Dates
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    Enumeration Date     |    10/05/2006
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    Last Update Date     |    05/12/2016
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Provider Practice Location Address
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    Address Line         |    9601 N 10TH ST UNIT 29 
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    City                 |    MCALLEN
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    State                |    TX
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    Zip                  |    78504-9423
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    Country              |    US
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    Telephone            |    956-687-1833
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9601 N 10TH ST UNIT 29 
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    City                 |    MCALLEN
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    State                |    TX
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    Zip                  |    78504-9423
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    Country              |    US
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    Telephone            |    956-687-1833
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. NOEL  YSAGUIRE 
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    Credential           |    PHD
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    Telephone            |    956-460-4223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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