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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