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General NPI Number Information
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NPI Number | 1841946191
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Entity Type | Organization
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Legal Business Name | RESILIENCE CENTER OF TEXAS PLLC
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Dates
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Enumeration Date | 02/25/2022
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 1401 LAKE PLAZA DRIVE SUITE 200 - SUITE 154
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City | SPRING
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State | TX
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Zip | 77389
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Country | US
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Telephone | 346-588-5696
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Fax |
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Provider Business Mailing Address
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Address Line | 1401 LAKE PLAZA DRIVE SUITE 200 - SUITE 154
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City | SPRING
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State | TX
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Zip | 77389
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Country | US
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Telephone | 346-588-5696
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Fax |
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Authorized Official
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Title or Position | DOCTOR/FOUNDER
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Name | MS. DAJONITTA L RICHMOND
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Credential | MD
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Telephone | 346-588-5696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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