Organization
VERICARE OF TEXAS, P.A.
Active
Other names
Vericare
Organization subpart
No
Provider details
NPI number
Authorized official
DARLA DUNN (DIRECTOR)
(860) 510-0888
Entity
Organization
Contact information
Practice address
24025 KINGWOOD PLACE DR, KINGWOOD, TX 77339-3862
(800) 257-8715
(800) 819-1655
Mailing address
1480 BOSTON POST RD, OLD SAYBROOK, CT 06475-1750
(800) 370-3651
(877) 515-7147
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
TX
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130082404
—
TX
01
—
CG8005
RAILROAD MEDICARE
TX
Enumeration date
05/15/2006
Last updated
01/28/2021
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