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Organization
WINDHAM PYSCHIATRY P.C.
Active
Organization
WINDHAM PYSCHIATRY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA NICOLE WINDHAM (PMHNP-BC)
(143) 235-2976
Entity
Organization
Contact information
Practice address
2412 N GRANDVIEW AVE STE 201, ODESSA, TX 79761-1631
(432) 352-9767
Mailing address
2412 N GRANDVIEW AVE STE 201, ODESSA, TX 79761-1631
(432) 352-9767
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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