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Organization
TP INNOVATION PSYCHIATRY
Active
Organization
TP INNOVATION PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THANH PHAN APRN (OWNER)
(972) 876-0387
Entity
Organization
Contact information
Practice address
3447 RENNER RD STE 120, PLANO, TX 75074-0051
(972) 876-0387
Mailing address
3447 RENNER RD STE 120, PLANO, TX 75074-0051
(972) 876-0387
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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