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Organization

PEA IN A POD PSYCHIATRY

Active
Other names
Psychiatry Texas
Organization subpart
No

Provider details

NPI number
Authorized official
DEENA VELAZQUEZ DONG (FOUNDER)
(512) 686-1066
Entity
Organization

Contact information

Practice address
805 W 10TH ST # 400-D, AUSTIN, TX 78701-2047
(512) 686-1066
(512) 686-1996
Mailing address
7414 W MAGIC MOUNTAIN LN, ROUND ROCK, TX 78681-3482

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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