Organization
OLIVEPATH PSYCHIATRY SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA U EJEM (OWNER)
(917) 856-2411
Entity
Organization
Contact information
Practice address
13500 W AIRPORT BLVD STE B, SUGAR LAND, TX 77498-6319
(708) 616-1477
(832) 321-2895
Mailing address
11015 RAINY CANYON LN, RICHMOND, TX 77406-1699
(708) 616-1477
(832) 321-2895
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/14/2024
Last updated
05/30/2024
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