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NPI Code Detail

MEDICARE: MRS. PATRICIA ROMANISH HYLAND LCSW

MEDICARE: MRS. PATRICIA ROMANISH HYLAND LCSW
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
11041C0700XClinical Social Worker41708TX

General Provider Information

NPI Number : 1659673952
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PATRICIA ROMANISH HYLAND LCSW
Provider Business Mailing Address
First Line : 4001 W 15TH ST STE 465
Second Line :
City : PLANO
State : TX
Zip : 75093-5845
Country : US
Telephone Number : 972-985-1599
Fax Number : 972-396-4142
Provider Business Practice Location Address
First Line : 4001 W 15TH ST STE 465
Second Line :
City : PLANO
State : TX
Zip : 75093-5845
Country : US
Telephone Number : 972-985-1599
Fax Number : 972-396-4142
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2010
Last Update Date : 11/19/2010

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