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NPI Code Detail

MEDICARE: EZER INTEGRATIVE PSYCHIATRY AND WELLNESS PLLC

MEDICARE: EZER INTEGRATIVE PSYCHIATRY AND WELLNESS PLLC
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
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1104766641
Entity Type Code : Organization
Provider Name (Legal Business Name) : EZER INTEGRATIVE PSYCHIATRY AND WELLNESS PLLC
Provider Business Mailing Address
First Line : 1400 N COIT RD STE 302
Second Line :
City : MCKINNEY
State : TX
Zip : 75071-6656
Country : US
Telephone Number : 469-638-3162
Fax Number :
Provider Business Practice Location Address
First Line : 1400 N COIT RD STE 302
Second Line :
City : MCKINNEY
State : TX
Zip : 75071-6656
Country : US
Telephone Number : 469-638-3162
Fax Number :
Authorized Official
Title or Position : OWNER
Name : EZER INTEGRATIVE
Credential : MD
Telephone Number : 469-638-3162
Provider Enumeration Date : 04/01/2026
Last Update Date : 04/01/2026

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Directions to “EZER INTEGRATIVE PSYCHIATRY AND WELLNESS PLLC ” Practice Location

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