Organization
FUQUA PSYCHIATRIC CONSULTING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIENNE CARDENAS (PRACTICE MANAGER)
(210) 201-3316
Entity
Organization
Contact information
Practice address
420 N CARROLL AVE STE 150, SOUTHLAKE, TX 76092-6454
(210) 201-3316
Mailing address
420 N CARROLL AVE STE 150, SOUTHLAKE, TX 76092-6454
(210) 201-3316
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/23/2025
Last updated
01/22/2026
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