Organization
BEACON BEHAVIORAL OF TEXAS PA
Active
Parent organization
BEACON BEHAVIORAL OF TEXAS PA
Other names
Memorial Park Psychiatry
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEACON BEHAVIORAL OF TEXAS PA
Authorized official
KIMBERLY GLAVESKAS (CREDENTIALING SUPERVISOR)
(443) 962-3945
Entity
Organization
Contact information
Practice address
550 WESTCOTT ST STE 520, HOUSTON, TX 77007-9001
(713) 864-6694
Mailing address
550 WESTCOTT ST STE 520, HOUSTON, TX 77007-9001
(713) 864-6694
(713) 864-6698
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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