Organization
NEUROPSYCHOLOGICAL SERVICES OF TEXARKANA PLLC
Active
Organization
NEUROPSYCHOLOGICAL SERVICES OF TEXARKANA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN SMITH PSY.D (OWNER)
(903) 255-0171
Entity
Organization
Contact information
Practice address
5411 PLAZA DR STE E, TEXARKANA, TX 75503-1667
(903) 255-0171
(903) 255-0172
Mailing address
5411 PLAZA DR STE E, TEXARKANA, TX 75503-1667
(903) 255-0171
(903) 255-0172
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306834015
NEUROPSYCHOLOGIST
—
Enumeration date
10/18/2018
Last updated
10/18/2018
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