MEDICARE: PSYCHOLOGY ASSOCIATES OF NORTH TEXAS, P.A.

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
1	103T00000X	Psychologist		TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	DC5919	OTHER	TX	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0007KK	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1629147327
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PSYCHOLOGY ASSOCIATES OF NORTH TEXAS, P.A.

Provider Business Mailing Address
First Line	:	3201 TEASLEY LN
Second Line	:	STE 303
City	:	DENTON
State	:	TX
Zip	:	76210-8302
Country	:	US
Telephone Number	:	940-383-8282
Fax Number	:	940-565-8170

Provider Business Practice Location Address
First Line	:	3201 TEASLEY LN
Second Line	:	STE 303
City	:	DENTON
State	:	TX
Zip	:	76210-8302
Country	:	US
Telephone Number	:	940-383-8282
Fax Number	:	940-565-8170

Authorized Official
Title or Position	:	OWNER PRESIDENT
Name	:	DR. JAMES B CURRIN
Credential	:	PH.D.
Telephone Number	:	940-383-8282

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	12/21/2007

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Directions to “PSYCHOLOGY ASSOCIATES OF NORTH TEXAS, P.A. ” Practice Location

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