Individual
PATRICIA MCBRIDE-HOUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
710 W LEUDA ST, FORT WORTH, TX 76104-3114
(817) 702-5958
(817) 702-8499
Mailing address
PO BOX 732973, DALLAS, TX 75373-2973
(817) 702-2450
(817) 702-8445
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
25113
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25113
TEXAS LICENSE
TX
Enumeration date
10/04/2006
Last updated
07/20/2018
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