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General NPI Number Information
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NPI Number | 1356139364
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Entity Type | Organization
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Legal Business Name | IDEAL PSYCHIATRY PLLC
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Dates
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Enumeration Date | 04/29/2025
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 13609 HACKBERRY MANOR DR
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City | WILLIS
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State | TX
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Zip | 77318-5417
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Country | US
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Telephone | 281-704-0410
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Fax |
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Provider Business Mailing Address
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Address Line | 13609 HACKBERRY MANOR DR
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City | WILLIS
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State | TX
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Zip | 77318-5417
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Country | US
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Telephone | 281-704-0410
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Fax |
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Authorized Official
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Title or Position | OWNER/PSYCHIATRIC NP
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Name | CATHY ANN TAYLOR
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Credential | NP
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Telephone | 281-704-0410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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