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NPI Code Detail

MEDICARE: WESTPARK SPRINGS PHYSICIANS GROUP, LLC

MEDICARE: WESTPARK SPRINGS PHYSICIANS GROUP, LLC
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 : 1225510837
Entity Type Code : Organization
Provider Name (Legal Business Name) : WESTPARK SPRINGS PHYSICIANS GROUP, LLC
Provider Business Mailing Address
First Line : WESTPARK SPRINGS PHYSICIANS GROUP, LLC
Second Line : 6902 SOUTH PEEK ROAD RICHMOND
City : RICHMOND
State : TX
Zip : 77407-1741
Country : US
Telephone Number : 832-535-2770
Fax Number : 832-535-2770
Provider Business Practice Location Address
First Line : WESTPARK SPRINGS PHYSICIANS GROUP, LLC
Second Line : 6902 SOUTH PEEK ROAD RICHMOND
City : RICHMOND
State : TX
Zip : 77407-1741
Country : US
Telephone Number : 832-535-2770
Fax Number : 832-757-1006
Authorized Official
Title or Position : BOARD DIRECTOR
Name : COLLEEN BRENNAN
Credential :
Telephone Number : 832-535-2770
Provider Enumeration Date : 08/30/2018
Last Update Date : 08/30/2018

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Directions to “WESTPARK SPRINGS PHYSICIANS GROUP, LLC ” Practice Location

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