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NPI Code Detail

MEDICARE: PATRICIA ANN PALACIOS LCSW

MEDICARE: PATRICIA ANN PALACIOS 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 Worker10796TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18333QCOTHERTXBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669403960
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA ANN PALACIOS LCSW
Provider Business Mailing Address
First Line : 8915 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75235-1717
Country : US
Telephone Number : 214-351-3490
Fax Number :
Provider Business Practice Location Address
First Line : 8915 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75235-1717
Country : US
Telephone Number : 214-351-3490
Fax Number : 214-352-0871
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2006
Last Update Date : 07/03/2018

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Directions to “ PATRICIA ANN PALACIOS LCSW” Practice Location

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