Organization
GREEN PEACOCK, PLLC
Active
Organization
GREEN PEACOCK, PLLC
Active
Other names
Green Peacock Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
KERI KENDALL NURSE PRACTITIONER (PMHNP)
(214) 797-8020
Entity
Organization
Contact information
Practice address
729 N BISHOP AVE, DALLAS, TX 75208-4340
(469) 669-3585
(469) 991-4796
Mailing address
2026 BERKLEY AVE, DALLAS, TX 75224-1041
(214) 797-8020
(469) 991-4796
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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